Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.03 / $5,128.00 / $20,680.40	Facility		$976.03	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,193.67 / $17,986.75 / $28,324.73	Facility		$2,193.67	$17,986.75	$28,324.73
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,025.00 / $1,704.89 / $1,704.89	Facility	AS	$1,025.00	$1,704.89	$1,704.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,877.15 / $2,285.42 / $7,511.25	Facility		$1,877.15	$2,285.42	$7,511.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $805.62 / $1,598.62 / $6,870.56	Facility		$805.62	$1,598.62	$6,870.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,016.26 / $1,384.96 / $1,448.54	Facility		$1,016.26	$1,384.96	$1,448.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.78 / $1,460.91 / $2,583.64	Facility		$970.78	$1,460.91	$2,583.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,480.79 / $20,921.68 / $41,012.25	Facility		$8,480.79	$20,921.68	$41,012.25
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