Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,397.29 / $7,861.54 / $21,917.86	Facility		$3,397.29	$7,861.54	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $18,623.18 / $35,644.43	Facility		$2,000.00	$18,623.18	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,366.38 / $7,694.91 / $7,694.91	Facility	62	$2,366.38	$7,694.91	$7,694.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,684.50 / $5,478.16 / $7,491.92	Facility		$2,684.50	$5,478.16	$7,491.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,920.00 / $5,260.31 / $5,435.04	Facility		$3,920.00	$5,260.31	$5,435.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,523.84 / $3,625.36 / $10,581.24	Facility		$3,523.84	$3,625.36	$10,581.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,233.34 / $18,633.84 / $35,644.43	Facility		$14,233.34	$18,633.84	$35,644.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,855.74 / $2,041.31 / $8,242.00	Facility		$1,855.74	$2,041.31	$8,242.00