Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.10 / $3,925.18 / $18,711.00	Facility		$755.10	$3,925.18	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,403.52 / $5,471.61 / $12,100.72	Facility		$3,403.52	$5,471.61	$12,100.72
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $298.95 / $497.27 / $497.27	Facility	AS	$298.95	$497.27	$497.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $2,190.81	Facility		$625.25	$761.81	$2,190.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $588.12 / $1,198.19 / $1,921.26	Facility		$588.12	$1,198.19	$1,921.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $808.99 / $1,114.52 / $1,210.02	Facility		$808.99	$1,114.52	$1,210.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $801.36 / $1,795.87	Facility		$598.07	$801.36	$1,795.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,913.81 / $5,468.48 / $10,466.57	Facility		$3,913.81	$5,468.48	$10,466.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00