Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,988.21 / $11,522.02 / $38,874.00	Facility		$1,988.21	$11,522.02	$38,874.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,390.21 / $52,782.32 / $101,024.36	Facility		$6,390.21	$52,782.32	$101,024.36
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $28,356.17 / $47,165.25 / $47,165.25	Facility	62	$28,356.17	$47,165.25	$47,165.25
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $4,536.99 / $7,546.44 / $7,546.44	Facility	AS	$4,536.99	$7,546.44	$7,546.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $33,247.40	Facility		$714.97	$870.49	$33,247.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,716.07 / $3,447.74 / $26,377.34	Facility		$1,716.07	$3,447.74	$26,377.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,264.78 / $3,042.44 / $3,201.93	Facility		$2,264.78	$3,042.44	$3,201.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,131.82 / $2,184.00 / $19,188.25	Facility		$2,131.82	$2,184.00	$19,188.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34,246.54 / $52,782.32 / $101,024.36	Facility		$34,246.54	$52,782.32	$101,024.36
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