Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,889.28 / $3,612.85 / $20,680.40	Facility		$1,889.28	$3,612.85	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,163.19 / $12,915.92	Facility		$55.00	$9,163.19	$12,915.92
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $194.10 / $638.23 / $638.23	Facility	AS	$194.10	$638.23	$638.23
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 $1,324.63 / $2,754.91 / $4,135.31	Facility		$1,324.63	$2,754.91	$4,135.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $2,674.15 / $2,814.67	Facility		$2,009.00	$2,674.15	$2,814.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.81 / $1,895.81 / $1,919.86	Facility		$1,895.81	$1,895.81	$1,919.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,999.25 / $9,163.19 / $17,528.15	Facility		$6,999.25	$9,163.19	$17,528.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,038.00 / $10,522.00	Facility		$1,100.00	$2,038.00	$10,522.00