Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,664.18 / $5,116.62 / $21,032.75	Facility		$2,664.18	$5,116.62	$21,032.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $10,160.00 / $18,131.52	Facility		$1,380.00	$10,160.00	$18,131.52
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $271.85 / $889.06 / $889.06	Facility	AS	$271.85	$889.06	$889.06
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 $1,875.19 / $3,904.75 / $5,027.64	Facility		$1,875.19	$3,904.75	$5,027.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,831.22 / $3,759.34 / $3,927.54	Facility		$2,831.22	$3,759.34	$3,927.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,640.08 / $2,640.08 / $2,678.93	Facility		$2,640.08	$2,640.08	$2,678.93
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