Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,100.07 / $12,776.00 / $28,541.25	Facility		$1,100.07	$12,776.00	$28,541.25
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $20,290.25 / $20,290.25 / $26,833.50	Facility	22	$20,290.25	$20,290.25	$26,833.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,010.99 / $12,944.63 / $21,602.23	Facility		$2,010.99	$12,944.63	$21,602.23
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $724.51 / $1,279.44 / $1,279.44	Facility	AS	$724.51	$1,279.44	$1,279.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $945.00 / $1,105.00	Facility		$883.20	$945.00	$1,105.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $603.75 / $1,214.74 / $5,167.68	Facility		$603.75	$1,214.74	$5,167.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $853.58 / $1,164.05 / $1,218.06	Facility		$853.58	$1,164.05	$1,218.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $815.85 / $2,010.99 / $3,875.03	Facility		$815.85	$2,010.99	$3,875.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,603.20 / $16,351.48 / $31,278.54	Facility		$10,603.20	$16,351.48	$31,278.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,900.00 / $4,686.00 / $19,271.00	Facility		$1,900.00	$4,686.00	$19,271.00