Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,101.44 / $4,500.00 / $26,379.00	Facility		$2,101.44	$4,500.00	$26,379.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,338.01 / $5,897.00 / $27,434.68	Facility		$2,338.01	$5,897.00	$27,434.68
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $235.20 / $778.25 / $778.25	Facility	AS	$235.20	$778.25	$778.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,619.75 / $3,229.14 / $4,117.30	Facility		$1,619.75	$3,229.14	$4,117.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,444.12 / $3,249.20 / $3,427.72	Facility		$2,444.12	$3,249.20	$3,427.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,280.86 / $2,280.86 / $2,338.01	Facility		$2,280.86	$2,280.86	$2,338.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,979.69 / $9,979.69 / $18,894.75	Facility		$9,979.69	$9,979.69	$18,894.75
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,323.00 / $5,793.00	Facility		$702.00	$1,323.00	$5,793.00