Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,117.92 / $5,132.00 / $22,024.00	Facility		$2,117.92	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,385.54 / $20,262.22 / $38,781.51	Facility		$2,385.54	$20,262.22	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $238.02 / $794.30 / $794.30	Facility	AS	$238.02	$794.30	$794.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $2,000.00 / $2,285.42	Facility		$714.97	$2,000.00	$2,285.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,628.74 / $3,373.11 / $6,397.05	Facility		$1,628.74	$3,373.11	$6,397.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,465.67 / $3,278.00 / $3,497.40	Facility		$2,465.67	$3,278.00	$3,497.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,173.66 / $2,318.00 / $6,526.97	Facility		$2,173.66	$2,318.00	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,486.02 / $20,273.81 / $38,781.51	Facility		$15,486.02	$20,273.81	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00