Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.23 / $9,464.00 / $27,982.24	Facility		$1,148.23	$9,464.00	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,735.84 / $18,480.04 / $35,350.23	Facility		$10,735.84	$18,480.04	$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 $3,813.70 / $3,813.70 / $6,353.58	Facility		$3,813.70	$3,813.70	$6,353.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,120.98 / $1,898.10 / $11,313.58	Facility		$1,120.98	$1,898.10	$11,313.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,279.08 / $1,735.30 / $1,833.12	Facility		$1,279.08	$1,735.30	$1,833.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,228.08 / $1,250.34 / $2,373.40	Facility		$1,228.08	$1,250.34	$2,373.40
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 $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00