Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,201.84 / $4,552.91 / $22,024.00	Facility		$2,201.84	$4,552.91	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $22,744.04	Facility		$55.00	$5,000.00	$22,744.04
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $247.76 / $827.45 / $827.45	Facility	AS	$247.76	$827.45	$827.45
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 $1,689.81 / $3,371.88 / $4,321.35	Facility		$1,689.81	$3,371.88	$4,321.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,563.19 / $3,410.75 / $3,647.48	Facility		$2,563.19	$3,410.75	$3,647.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,409.05 / $2,409.05 / $2,487.91	Facility		$2,409.05	$2,409.05	$2,487.91
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