Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,059.60 / $6,470.00 / $26,561.81	Facility		$1,059.60	$6,470.00	$26,561.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,598.26 / $16,223.75 / $26,542.00	Facility		$3,598.26	$16,223.75	$26,542.00
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 $1,877.15 / $2,285.42 / $6,775.01	Facility		$1,877.15	$2,285.42	$6,775.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $640.87 / $1,192.61 / $6,197.13	Facility		$640.87	$1,192.61	$6,197.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.91 / $1,110.19 / $1,171.16	Facility		$812.91	$1,110.19	$1,171.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $784.14 / $2,010.99 / $3,875.03	Facility		$784.14	$2,010.99	$3,875.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,603.20 / $16,351.48 / $31,278.54	Facility		$10,603.20	$16,351.48	$31,278.54
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