Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,435.66 / $4,631.03 / $20,680.40	Facility		$2,435.66	$4,631.03	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,276.00 / $10,160.00 / $16,647.28	Facility		$1,276.00	$10,160.00	$16,647.28
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $250.09 / $817.91 / $817.91	Facility	AS	$250.09	$817.91	$817.91
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 $1,714.61 / $3,591.35 / $4,605.01	Facility		$1,714.61	$3,591.35	$4,605.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,589.16 / $3,455.41 / $3,607.28	Facility		$2,589.16	$3,455.41	$3,607.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,425.82 / $2,425.82 / $2,460.48	Facility		$2,425.82	$2,425.82	$2,460.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,831.44 / $11,831.44 / $14,905.81	Facility		$11,831.44	$11,831.44	$14,905.81
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $5,793.00	Facility		$650.00	$1,120.00	$5,793.00