Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.75 / $10,180.24 / $25,612.66	Facility		$993.75	$10,180.24	$25,612.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $935.90 / $20,128.48 / $40,963.26	Facility		$935.90	$20,128.48	$40,963.26
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,008.91 / $1,678.13 / $1,678.13	Facility	AS	$1,008.91	$1,678.13	$1,678.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,437.81 / $4,437.81 / $7,393.34	Facility		$4,437.81	$4,437.81	$7,393.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $646.13 / $1,141.45 / $11,411.87	Facility		$646.13	$1,141.45	$11,411.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $731.57 / $1,146.77 / $1,401.64	Facility		$731.57	$1,146.77	$1,401.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $935.90 / $956.04 / $2,928.53	Facility		$935.90	$956.04	$2,928.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,886.25 / $21,402.13 / $40,963.26	Facility		$13,886.25	$21,402.13	$40,963.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00