Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,574.23 / $5,128.00 / $22,024.00	Facility		$2,574.23	$5,128.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,346.54 / $8,500.00 / $23,994.24	Facility		$2,346.54	$8,500.00	$23,994.24
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $240.49 / $792.48 / $792.48	Facility	AS	$240.49	$792.48	$792.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $947.00	Facility		$500.00	$870.49	$947.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,627.81 / $3,353.10 / $4,344.09	Facility		$1,627.81	$3,353.10	$4,344.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,465.19 / $3,314.94 / $3,490.03	Facility		$2,465.19	$3,314.94	$3,490.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,346.54 / $3,277.62 / $6,637.66	Facility		$2,346.54	$3,277.62	$6,637.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,035.59 / $22,245.00 / $35,837.29	Facility		$14,035.59	$22,245.00	$35,837.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,900.00 / $6,102.00 / $18,897.00	Facility		$1,900.00	$6,102.00	$18,897.00