Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,745.67 / $7,920.26 / $21,418.58	Facility		$1,745.67	$7,920.26	$21,418.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,132.17 / $12,529.85 / $20,760.75	Facility		$2,132.17	$12,529.85	$20,760.75
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $606.30 / $1,008.48 / $1,008.48	Facility	AS	$606.30	$1,008.48	$1,008.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $4,443.08	Facility		$500.00	$870.49	$4,443.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,055.61 / $2,036.48 / $4,064.10	Facility		$1,055.61	$2,036.48	$4,064.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,363.67 / $1,845.49 / $1,936.30	Facility		$1,363.67	$1,845.49	$1,936.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,300.56 / $1,439.64 / $3,045.78	Facility		$1,300.56	$1,439.64	$3,045.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,290.07 / $10,853.10 / $20,996.48	Facility		$8,290.07	$10,853.10	$20,996.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $7,585.00 / $24,236.00	Facility		$2,100.00	$7,585.00	$24,236.00