Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,842.05 / $14,863.58 / $55,213.41	Facility		$2,842.05	$14,863.58	$55,213.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,338.84 / $37,297.19 / $71,345.31	Facility		$6,338.84	$37,297.19	$71,345.31
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $18,320.84 / $30,473.31 / $30,473.31	Facility	62	$18,320.84	$30,473.31	$30,473.31
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,931.33 / $4,875.72 / $4,875.72	Facility	AS	$2,931.33	$4,875.72	$4,875.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $21,481.05	Facility		$714.97	$870.49	$21,481.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,904.56 / $3,834.61 / $18,838.16	Facility		$1,904.56	$3,834.61	$18,838.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,481.35 / $3,253.28 / $3,450.50	Facility		$2,481.35	$3,253.28	$3,450.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,287.65 / $2,353.55 / $19,034.00	Facility		$2,287.65	$2,353.55	$19,034.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,749.60 / $37,275.87 / $71,345.31	Facility		$24,749.60	$37,275.87	$71,345.31
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