Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.13 / $2,064.40 / $17,930.00	Facility		$275.13	$2,064.40	$17,930.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $255.46 / $849.23	Facility		$55.00	$255.46	$849.23
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $25.78 / $84.92 / $84.92	Facility	AS	$25.78	$84.92	$84.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,357.27 / $2,009.00 / $2,349.00	Facility		$1,357.27	$2,009.00	$2,349.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $176.39 / $377.34 / $476.35	Facility		$176.39	$377.34	$476.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $271.95 / $353.90 / $374.53	Facility		$271.95	$353.90	$374.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.13 / $254.13 / $255.46	Facility		$254.13	$254.13	$255.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,307.01 / $6,307.01 / $7,945.87	Facility		$6,307.01	$6,307.01	$7,945.87
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $497.00 / $5,793.00	Facility		$125.00	$497.00	$5,793.00