Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,902.53 / $5,132.00 / $22,024.00	Facility		$1,902.53	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,098.54 / $18,220.34 / $35,644.43	Facility		$2,098.54	$18,220.34	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,323.19 / $4,376.83 / $4,376.83	Facility	62	$1,323.19	$4,376.83	$4,376.83
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $211.71 / $700.29 / $700.29	Facility	AS	$211.71	$700.29	$700.29
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 $1,420.11 / $2,906.98 / $4,107.78	Facility		$1,420.11	$2,906.98	$4,107.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,111.90 / $2,892.39 / $3,076.64	Facility		$2,111.90	$2,892.39	$3,076.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,031.25 / $2,031.25 / $2,098.54	Facility		$2,031.25	$2,031.25	$2,098.54
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