Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.76 / $8,617.81 / $23,430.00	Facility		$984.76	$8,617.81	$23,430.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,132.50 / $13,249.10 / $26,963.11	Facility		$1,132.50	$13,249.10	$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 $1,047.90 / $1,839.85 / $8,968.34	Facility		$1,047.90	$1,839.85	$8,968.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,204.42 / $1,571.82 / $1,695.77	Facility		$1,204.42	$1,571.82	$1,695.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,132.50 / $1,156.67 / $1,964.09	Facility		$1,132.50	$1,156.67	$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