Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,729.25 / $3,193.54 / $20,680.40	Facility		$1,729.25	$3,193.54	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,753.97 / $11,792.32	Facility		$55.00	$1,753.97	$11,792.32
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $177.17 / $583.41 / $583.41	Facility	AS	$177.17	$583.41	$583.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,210.85 / $2,532.81 / $3,200.19	Facility		$1,210.85	$2,532.81	$3,200.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,850.73 / $2,441.05 / $2,571.46	Facility		$1,850.73	$2,441.05	$2,571.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,731.37 / $1,731.37 / $1,753.97	Facility		$1,731.37	$1,731.37	$1,753.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,035.59 / $14,035.59 / $25,598.08	Facility		$14,035.59	$14,035.59	$25,598.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,900.00 / $4,686.00 / $19,271.00	Facility		$1,900.00	$4,686.00	$19,271.00