Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $987.29 / $4,011.00 / $18,711.00	Facility		$987.29	$4,011.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,392.97 / $5,628.30 / $12,100.72	Facility		$3,392.97	$5,628.30	$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 $776.70 / $1,533.80 / $2,245.23	Facility		$776.70	$1,533.80	$2,245.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.71 / $1,482.04 / $1,627.43	Facility		$1,071.71	$1,482.04	$1,627.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $1,063.19 / $1,795.87	Facility		$598.07	$1,063.19	$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 / $1,862.00 / $10,522.00	Facility		$1,547.00	$1,862.00	$10,522.00