Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,836.55 / $3,478.22 / $20,680.40	Facility		$1,836.55	$3,478.22	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,545.84 / $20,211.13	Facility		$55.00	$12,545.84	$20,211.13
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $188.71 / $621.27 / $621.27	Facility	AS	$188.71	$621.27	$621.27
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 $1,279.06 / $2,658.74 / $4,031.25	Facility		$1,279.06	$2,658.74	$4,031.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,914.43 / $2,603.67 / $2,733.60	Facility		$1,914.43	$2,603.67	$2,733.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,836.92 / $1,836.92 / $1,864.56	Facility		$1,836.92	$1,836.92	$1,864.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,424.29 / $14,956.33 / $28,609.76	Facility		$11,424.29	$14,956.33	$28,609.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,759.00 / $11,941.00	Facility		$1,300.00	$2,759.00	$11,941.00