Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,985.95 / $6,766.47 / $22,024.00	Facility		$2,985.95	$6,766.47	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,310.97 / $18,633.84 / $35,644.43	Facility		$3,310.97	$18,633.84	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,077.63 / $6,872.73 / $6,872.73	Facility	62	$2,077.63	$6,872.73	$6,872.73
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $332.42 / $1,099.64 / $1,099.64	Facility	AS	$332.42	$1,099.64	$1,099.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,277.26 / $4,681.67 / $6,587.15	Facility		$2,277.26	$4,681.67	$6,587.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,408.44 / $4,590.24 / $4,854.14	Facility		$3,408.44	$4,590.24	$4,854.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,217.66 / $3,217.66 / $3,310.97	Facility		$3,217.66	$3,217.66	$3,310.97
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 $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00