Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,926.81 / $4,355.99 / $22,024.00	Facility		$1,926.81	$4,355.99	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $16,278.30	Facility		$55.00	$5,000.00	$16,278.30
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $217.24 / $723.76 / $723.76	Facility	AS	$217.24	$723.76	$723.76
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 $1,473.43 / $2,936.41 / $3,796.06	Facility		$1,473.43	$2,936.41	$3,796.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,220.67 / $2,995.12 / $3,181.16	Facility		$2,220.67	$2,995.12	$3,181.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,101.01 / $2,101.01 / $2,169.84	Facility		$2,101.01	$2,101.01	$2,169.84
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 $3,700.00 / $7,614.00 / $24,236.00	Facility		$3,700.00	$7,614.00	$24,236.00