Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.03 / $5,634.60 / $18,711.00	Facility		$829.03	$5,634.60	$18,711.00
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 $895.96 / $1,467.84 / $10,488.49	Facility		$895.96	$1,467.84	$10,488.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.58 / $1,239.83 / $1,349.64	Facility		$1,000.58	$1,239.83	$1,349.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $887.88 / $887.88 / $894.81	Facility		$887.88	$887.88	$894.81
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