Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $819.82 / $5,128.00 / $19,900.00	Facility		$819.82	$5,128.00	$19,900.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $942.69 / $20,128.48 / $40,963.26	Facility		$942.69	$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 $874.02 / $1,535.29 / $11,411.87	Facility		$874.02	$1,535.29	$11,411.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $965.85 / $1,314.54 / $1,415.08	Facility		$965.85	$1,314.54	$1,415.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $942.69 / $962.90 / $2,928.53	Facility		$942.69	$962.90	$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 $3,478.00 / $6,584.58 / $16,315.00	Facility		$3,478.00	$6,584.58	$16,315.00