Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,240.78 / $4,500.00 / $21,917.86	Facility		$1,240.78	$4,500.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,437.36 / $12,795.08	Facility		$55.00	$7,437.36	$12,795.08
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $128.30 / $421.75 / $421.75	Facility	AS	$128.30	$421.75	$421.75
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 $876.37 / $1,864.41 / $2,715.00	Facility		$876.37	$1,864.41	$2,715.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,326.43 / $1,769.14 / $1,849.87	Facility		$1,326.43	$1,769.14	$1,849.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,243.94 / $1,243.94 / $1,261.78	Facility		$1,243.94	$1,243.94	$1,261.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,232.39 / $9,468.42 / $18,112.00	Facility		$7,232.39	$9,468.42	$18,112.00
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