Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $963.70 / $1,794.79 / $20,680.40	Facility		$963.70	$1,794.79	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,392.38 / $7,123.96	Facility		$55.00	$5,392.38	$7,123.96
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $216.75 / $382.77 / $382.77	Facility	AS	$216.75	$382.77	$382.77
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 $726.01 / $1,399.88 / $2,117.81	Facility		$726.01	$1,399.88	$2,117.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $993.23 / $1,354.74 / $1,419.73	Facility		$993.23	$1,354.74	$1,419.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $952.66 / $952.66 / $968.38	Facility		$952.66	$952.66	$968.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,118.93 / $5,392.38 / $10,315.01	Facility		$4,118.93	$5,392.38	$10,315.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,038.00 / $10,522.00	Facility		$1,100.00	$2,038.00	$10,522.00