Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,498.57 / $8,369.76 / $27,877.96	Facility		$1,498.57	$8,369.76	$27,877.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,789.60 / $17,370.36 / $35,350.23	Facility		$2,789.60	$17,370.36	$35,350.23
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $867.02 / $1,442.13 / $1,442.13	Facility	AS	$867.02	$1,442.13	$1,442.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $6,353.58	Facility		$644.92	$1,110.00	$6,353.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,513.35 / $2,519.88 / $5,811.64	Facility		$1,513.35	$2,519.88	$5,811.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,636.16 / $2,262.59 / $2,357.73	Facility		$1,636.16	$2,262.59	$2,357.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,570.10 / $1,608.18 / $2,789.60	Facility		$1,570.10	$1,608.18	$2,789.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,983.48 / $18,469.48 / $35,350.23	Facility		$11,983.48	$18,469.48	$35,350.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $3,478.00 / $16,315.00	Facility		$1,615.00	$3,478.00	$16,315.00