Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $948.99 / $2,627.35 / $17,930.00	Facility		$948.99	$2,627.35	$17,930.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,641.35 / $7,929.30 / $16,394.00	Facility		$1,641.35	$7,929.30	$16,394.00
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 $625.25 / $761.81 / $3,311.26	Facility		$625.25	$761.81	$3,311.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $767.62 / $1,509.93 / $3,028.83	Facility		$767.62	$1,509.93	$3,028.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $970.69 / $1,330.62 / $1,391.59	Facility		$970.69	$1,330.62	$1,391.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $927.74 / $1,208.98 / $1,915.04	Facility		$927.74	$1,208.98	$1,915.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,806.07 / $7,956.97 / $15,220.78	Facility		$5,806.07	$7,956.97	$15,220.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,759.00 / $11,941.00	Facility		$1,300.00	$2,759.00	$11,941.00