Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.82 / $5,128.00 / $18,800.00	Facility		$896.82	$5,128.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,749.10 / $16,173.23 / $29,789.77	Facility		$9,749.10	$16,173.23	$29,789.77
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $972.76 / $1,618.01 / $1,618.01	Facility	AS	$972.76	$1,618.01	$1,618.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,128.48 / $7,128.48 / $7,128.48	Facility		$7,128.48	$7,128.48	$7,128.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,102.76 / $1,748.50 / $10,488.49	Facility		$1,102.76	$1,748.50	$10,488.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,058.89 / $1,357.07 / $1,579.86	Facility		$1,058.89	$1,357.07	$1,579.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $957.19 / $957.19 / $975.24	Facility		$957.19	$957.19	$975.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,098.52 / $15,564.30 / $29,789.77	Facility		$10,098.52	$15,564.30	$29,789.77
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,540.00 / $20,708.00	Facility		$3,028.00	$11,540.00	$20,708.00