Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.08 / $6,470.00 / $23,696.52	Facility		$795.08	$6,470.00	$23,696.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,554.51 / $14,095.51 / $26,963.11	Facility		$8,554.51	$14,095.51	$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 $821.23 / $1,390.93 / $8,968.34	Facility		$821.23	$1,390.93	$8,968.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $931.21 / $1,198.57 / $1,312.53	Facility		$931.21	$1,198.57	$1,312.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $832.16 / $849.56 / $1,964.09	Facility		$832.16	$849.56	$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