Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,275.21 / $8,617.81 / $19,900.00	Facility		$1,275.21	$8,617.81	$19,900.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,002.94 / $8,854.69 / $16,947.71	Facility		$1,002.94	$8,854.69	$16,947.71
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $541.16 / $900.13 / $900.13	Facility	AS	$541.16	$900.13	$900.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,380.38 / $2,380.38 / $3,965.68	Facility		$2,380.38	$2,380.38	$3,965.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $856.99 / $1,584.52 / $7,931.04	Facility		$856.99	$1,584.52	$7,931.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $960.68 / $1,310.26 / $1,501.47	Facility		$960.68	$1,310.26	$1,501.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,002.94 / $1,024.14 / $1,367.95	Facility		$1,002.94	$1,024.14	$1,367.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,464.82 / $8,854.69 / $16,947.71	Facility		$6,464.82	$8,854.69	$16,947.71
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