Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,016.00 / $8,500.00 / $22,024.00	Facility		$3,016.00	$8,500.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,575.67 / $1,575.67 / $1,575.67	Professional		$1,575.67	$1,575.67	$1,575.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,273.61 / $5,167.93 / $9,885.68	Facility		$3,273.61	$5,167.93	$9,885.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $164.82 / $264.91 / $939.57	Professional		$164.82	$264.91	$939.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $2,323.83	Facility		$644.92	$1,110.00	$2,323.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,176.14 / $2,037.92 / $5,429.81	Facility		$1,176.14	$2,037.92	$5,429.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $1,565.69 / $2,381.56	Professional		$13.10	$1,565.69	$2,381.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,482.30 / $4,413.00 / $79,999.20	Facility		$1,482.30	$4,413.00	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.83 / $1,040.51 / $1,040.51	Facility		$759.83	$1,040.51	$1,040.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,770.96 / $5,167.93 / $9,885.68	Facility		$3,770.96	$5,167.93	$9,885.68
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,120.00 / $6,857.00	Facility		$629.00	$1,120.00	$6,857.00