Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,185.49 / $5,132.00 / $22,024.00	Facility		$1,185.49	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $13,486.75 / $21,602.23	Facility		$2,800.00	$13,486.75	$21,602.23
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $724.51 / $1,279.44 / $1,279.44	Facility	AS	$724.51	$1,279.44	$1,279.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,076.00 / $1,258.00	Facility		$1,005.16	$1,076.00	$1,258.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $1,380.10 / $5,167.68	Facility		$717.00	$1,380.10	$5,167.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $927.57 / $1,252.99 / $1,314.54	Facility		$927.57	$1,252.99	$1,314.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $881.99 / $881.99 / $896.63	Facility		$881.99	$881.99	$896.63
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