Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.91 / $2,769.52 / $18,711.00	Facility		$574.91	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $5,117.28	Facility		$55.00	$5,000.00	$5,117.28
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $44.02 / $146.69 / $146.69	Facility	AS	$44.02	$146.69	$146.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,285.42 / $2,500.00	Facility		$2,000.00	$2,285.42	$2,500.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $302.25 / $612.30 / $794.32	Facility		$302.25	$612.30	$794.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $459.62 / $603.70 / $644.54	Facility		$459.62	$603.70	$644.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $428.99 / $428.99 / $439.63	Facility		$428.99	$428.99	$439.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,683.09 / $8,683.09 / $10,939.38	Facility		$8,683.09	$8,683.09	$10,939.38
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $648.00 / $6,216.00	Facility		$157.00	$648.00	$6,216.00