Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,156.86 / $6,470.00 / $20,680.40	Facility		$1,156.86	$6,470.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,010.87 / $9,558.29 / $26,542.00	Facility		$2,010.87	$9,558.29	$26,542.00
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $544.69 / $905.99 / $905.99	Facility	AS	$544.69	$905.99	$905.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,877.15 / $2,285.42 / $3,991.53	Facility		$1,877.15	$2,285.42	$3,991.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $699.75 / $1,328.98 / $3,651.07	Facility		$699.75	$1,328.98	$3,651.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $895.23 / $1,221.41 / $1,279.70	Facility		$895.23	$1,221.41	$1,279.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $858.44 / $1,460.91 / $2,583.64	Facility		$858.44	$1,460.91	$2,583.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,069.92 / $9,804.29 / $18,754.53	Facility		$7,069.92	$9,804.29	$18,754.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,129.00 / $10,638.00	Facility		$1,300.00	$3,129.00	$10,638.00