Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.07 / $3,354.00 / $22,024.00	Facility		$271.07	$3,354.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $838.66 / $2,800.00	Facility		$150.00	$838.66	$2,800.00
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $25.63 / $83.87 / $83.87	Facility	AS	$25.63	$83.87	$83.87
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 $176.70 / $377.34 / $476.35	Facility		$176.70	$377.34	$476.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $271.45 / $352.95 / $369.17	Facility		$271.45	$352.95	$369.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.06 / $250.06 / $251.81	Facility		$250.06	$250.06	$251.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,307.01 / $6,307.01 / $7,945.87	Facility		$6,307.01	$6,307.01	$7,945.87
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