Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $9,350.64 / $21,917.86	Facility		$988.00	$9,350.64	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $16,223.75 / $31,278.54	Facility		$5,897.00	$16,223.75	$31,278.54
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $924.53 / $1,537.78 / $1,537.78	Facility	AS	$924.53	$1,537.78	$1,537.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,066.66 / $4,066.66 / $6,775.01	Facility		$4,066.66	$4,066.66	$6,775.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $879.48 / $1,529.80 / $12,766.31	Facility		$879.48	$1,529.80	$12,766.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,003.88 / $1,364.79 / $1,430.04	Facility		$1,003.88	$1,364.79	$1,430.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $952.66 / $974.78 / $2,429.53	Facility		$952.66	$974.78	$2,429.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,684.88 / $16,342.14 / $31,278.54	Facility		$10,684.88	$16,342.14	$31,278.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $4,686.00 / $20,708.00	Facility		$3,028.00	$4,686.00	$20,708.00