Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $871.92 / $3,170.00 / $17,930.00	Facility		$871.92	$3,170.00	$17,930.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,920.96 / $10,512.09	Facility		$55.00	$6,920.96	$10,512.09
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $451.86 / $751.59 / $751.59	Facility	AS	$451.86	$751.59	$751.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $1,076.00 / $3,311.26	Facility		$714.97	$1,076.00	$3,311.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $691.50 / $1,376.76 / $3,028.83	Facility		$691.50	$1,376.76	$3,028.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $868.00 / $1,172.50 / $1,245.53	Facility		$868.00	$1,172.50	$1,245.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $836.24 / $1,208.98 / $1,915.04	Facility		$836.24	$1,208.98	$1,915.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,324.56 / $7,956.97 / $15,220.78	Facility		$5,324.56	$7,956.97	$15,220.78
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