Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.66 / $5,132.00 / $20,680.40	Facility		$983.66	$5,132.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $717.55 / $13,249.10 / $26,963.11	Facility		$717.55	$13,249.10	$26,963.11
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $719.36 / $1,196.53 / $1,196.53	Facility	AS	$719.36	$1,196.53	$1,196.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,164.22 / $3,164.22 / $5,271.55	Facility		$3,164.22	$3,164.22	$5,271.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $651.88 / $1,143.11 / $8,968.34	Facility		$651.88	$1,143.11	$8,968.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $713.93 / $985.79 / $1,075.34	Facility		$713.93	$985.79	$1,075.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $717.55 / $733.49 / $1,964.09	Facility		$717.55	$733.49	$1,964.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,140.29 / $14,087.45 / $26,963.11	Facility		$9,140.29	$14,087.45	$26,963.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00