Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.10 / $6,470.00 / $25,165.76	Facility		$750.10	$6,470.00	$25,165.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,160.61 / $16,223.75	Facility		$55.00	$14,160.61	$16,223.75
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 $2,285.42 / $2,285.42 / $6,775.01	Facility		$2,285.42	$2,285.42	$6,775.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $401.08 / $827.83 / $5,941.46	Facility		$401.08	$827.83	$5,941.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $601.23 / $789.57 / $830.80	Facility		$601.23	$789.57	$830.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,886.41 / $9,886.41 / $16,351.48	Facility		$9,886.41	$9,886.41	$16,351.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $4,016.00 / $11,627.00	Facility		$1,400.00	$4,016.00	$11,627.00