Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,435.65 / $5,128.00 / $20,680.40	Facility		$1,435.65	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $19,056.41 / $38,781.51	Facility		$2,000.00	$19,056.41	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,134.79 / $1,887.52 / $1,887.52	Facility	AS	$1,134.79	$1,887.52	$1,887.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $2,285.42 / $8,315.84	Facility		$714.97	$2,285.42	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $852.93 / $1,744.88 / $7,292.72	Facility		$852.93	$1,744.88	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,092.06 / $1,494.31 / $1,635.47	Facility		$1,092.06	$1,494.31	$1,635.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,046.88 / $1,067.55 / $6,526.97	Facility		$1,046.88	$1,067.55	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00