Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $629.63 / $8,815.00 / $29,031.53	Facility		$629.63	$8,815.00	$29,031.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,598.26 / $16,223.75 / $26,542.00	Facility		$3,598.26	$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 $883.20 / $1,075.31 / $6,775.01	Facility		$883.20	$1,075.31	$6,775.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $380.62 / $735.94 / $6,197.13	Facility		$380.62	$735.94	$6,197.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $493.43 / $667.64 / $696.13	Facility		$493.43	$667.64	$696.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $464.78 / $2,010.99 / $3,875.03	Facility		$464.78	$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