Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.82 / $6,354.45 / $27,141.42	Facility		$662.82	$6,354.45	$27,141.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,886.41 / $16,351.48 / $31,278.54	Facility		$9,886.41	$16,351.48	$31,278.54
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $924.53 / $1,537.78 / $1,537.78	Facility	AS	$924.53	$1,537.78	$1,537.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,066.66 / $4,066.66 / $6,775.01	Facility		$4,066.66	$4,066.66	$6,775.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $637.98 / $1,167.15 / $12,028.17	Facility		$637.98	$1,167.15	$12,028.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $736.67 / $990.93 / $1,040.51	Facility		$736.67	$990.93	$1,040.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $690.37 / $709.72 / $2,429.53	Facility		$690.37	$709.72	$2,429.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,603.20 / $16,342.14 / $31,278.54	Facility		$10,603.20	$16,342.14	$31,278.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $4,686.00 / $20,708.00	Facility		$3,028.00	$4,686.00	$20,708.00