Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.79 / $6,259.76 / $17,930.00	Facility		$748.79	$6,259.76	$17,930.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,795.87 / $5,471.61 / $12,100.72	Facility		$1,795.87	$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 $608.55 / $1,201.21 / $1,941.14	Facility		$608.55	$1,201.21	$1,941.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $790.86 / $1,086.74 / $1,134.31	Facility		$790.86	$1,086.74	$1,134.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $755.15 / $1,795.87	Facility		$598.07	$755.15	$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