Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.37 / $5,775.00 / $19,900.00	Facility		$912.37	$5,775.00	$19,900.00
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 $1,009.83 / $1,775.08 / $8,968.34	Facility		$1,009.83	$1,775.08	$8,968.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,146.81 / $1,511.97 / $1,618.05	Facility		$1,146.81	$1,511.97	$1,618.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,050.51 / $1,072.58 / $1,964.09	Facility		$1,050.51	$1,072.58	$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