Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,578.41 / $6,470.00 / $23,000.00	Facility		$1,578.41	$6,470.00	$23,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,477.63 / $38,734.25 / $50,913.65	Facility		$7,477.63	$38,734.25	$50,913.65
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,901.37 / $4,825.89 / $4,825.89	Facility	AS	$2,901.37	$4,825.89	$4,825.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $21,261.46	Facility		$765.00	$870.49	$21,261.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,333.12 / $2,756.61 / $18,645.59	Facility		$1,333.12	$2,756.61	$18,645.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,791.44 / $2,431.80 / $2,568.78	Facility		$1,791.44	$2,431.80	$2,568.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,693.31 / $1,752.14 / $18,916.71	Facility		$1,693.31	$1,752.14	$18,916.71
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