Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,467.49 / $2,819.28 / $20,680.40	Facility		$1,467.49	$2,819.28	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,334.58 / $7,537.44	Facility		$55.00	$2,334.58	$7,537.44
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $150.97 / $492.14 / $492.14	Facility	AS	$150.97	$492.14	$492.14
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 $1,031.68 / $2,106.67 / $2,731.13	Facility		$1,031.68	$2,106.67	$2,731.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,543.01 / $2,092.87 / $2,168.12	Facility		$1,543.01	$2,092.87	$2,168.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,447.34 / $1,447.34 / $1,478.85	Facility		$1,447.34	$1,447.34	$1,478.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,910.80 / $3,910.80 / $6,979.68	Facility		$3,910.80	$3,910.80	$6,979.68
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