Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.46 / $11,210.00 / $25,388.23	Facility		$600.46	$11,210.00	$25,388.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,429.53 / $16,223.75 / $26,542.00	Facility		$2,429.53	$16,223.75	$26,542.00
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $924.53 / $1,537.78 / $1,537.78	Facility	AS	$924.53	$1,537.78	$1,537.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $918.00 / $6,775.01	Facility		$714.97	$918.00	$6,775.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $363.00 / $700.06 / $6,197.13	Facility		$363.00	$700.06	$6,197.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $461.09 / $630.47 / $665.98	Facility		$461.09	$630.47	$665.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $443.49 / $2,010.99 / $3,875.03	Facility		$443.49	$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 $1,400.00 / $3,509.00 / $16,315.00	Facility		$1,400.00	$3,509.00	$16,315.00