Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.33 / $5,128.00 / $20,680.40	Facility		$951.33	$5,128.00	$20,680.40
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 $714.97 / $870.49 / $2,190.81	Facility		$714.97	$870.49	$2,190.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $558.54 / $1,120.35 / $1,921.26	Facility		$558.54	$1,120.35	$1,921.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.77 / $1,006.07 / $1,037.83	Facility		$741.77	$1,006.07	$1,037.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $688.11 / $1,795.87	Facility		$598.07	$688.11	$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