Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.20 / $2,083.79 / $15,360.35	Facility		$825.20	$2,083.79	$15,360.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,240.76 / $18,166.74 / $37,074.37	Facility		$1,240.76	$18,166.74	$37,074.37
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $115.19 / $205.58 / $205.58	Facility	AS	$115.19	$205.58	$205.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $12,220.77	Facility		$714.97	$870.49	$12,220.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $593.73 / $1,129.18 / $7,725.78	Facility		$593.73	$1,129.18	$7,725.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $872.83 / $1,542.99 / $1,819.05	Facility		$872.83	$1,542.99	$1,819.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,226.27 / $1,240.76 / $10,003.77	Facility		$1,226.27	$1,240.76	$10,003.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,805.53 / $19,381.37 / $37,074.37	Facility		$12,805.53	$19,381.37	$37,074.37
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