Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,357.93 / $5,116.62 / $18,711.00	Facility		$1,357.93	$5,116.62	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,224.76 / $6,908.05 / $14,605.02	Facility		$1,224.76	$6,908.05	$14,605.02
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $392.50 / $652.85 / $652.85	Facility	AS	$392.50	$652.85	$652.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.00 / $642.00 / $2,876.24	Facility		$642.00	$642.00	$2,876.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,100.89 / $1,467.34 / $2,630.91	Facility		$1,100.89	$1,467.34	$2,630.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,284.29 / $1,717.21 / $1,804.31	Facility		$1,284.29	$1,717.21	$1,804.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,126.18 / $1,183.24 / $1,224.76	Facility		$1,126.18	$1,183.24	$1,224.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,044.41 / $6,729.88 / $12,632.68	Facility		$5,044.41	$6,729.88	$12,632.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $2,155.00 / $11,941.00	Facility		$1,620.00	$2,155.00	$11,941.00