Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,141.86 / $3,810.00 / $18,711.00	Facility		$1,141.86	$3,810.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,833.30 / $7,785.76	Facility		$55.00	$4,833.30	$7,785.76
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $116.91 / $384.81 / $384.81	Facility	AS	$116.91	$384.81	$384.81
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 $794.84 / $1,671.71 / $2,506.87	Facility		$794.84	$1,671.71	$2,506.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,195.59 / $1,614.98 / $1,695.10	Facility		$1,195.59	$1,614.98	$1,695.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,137.48 / $1,137.48 / $1,156.21	Facility		$1,137.48	$1,137.48	$1,156.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,691.88 / $4,833.30 / $9,245.54	Facility		$3,691.88	$4,833.30	$9,245.54
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $6,857.00	Facility		$650.00	$1,120.00	$6,857.00