Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,091.14 / $6,470.00 / $24,827.00	Facility		$1,091.14	$6,470.00	$24,827.00
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 $753.73 / $1,248.52 / $10,488.49	Facility		$753.73	$1,248.52	$10,488.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $757.44 / $1,150.57 / $1,220.59	Facility		$757.44	$1,150.57	$1,220.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $819.02 / $819.02 / $829.00	Facility		$819.02	$819.02	$829.00
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 / $10,811.40 / $19,271.00	Facility		$3,028.00	$10,811.40	$19,271.00