Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.04 / $16,021.00 / $81,991.24	Facility		$2,238.04	$16,021.00	$81,991.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,830.93 / $52,812.50 / $101,024.36	Facility		$5,830.93	$52,812.50	$101,024.36
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $4,526.85 / $7,529.59 / $7,529.59	Facility	AS	$4,526.85	$7,529.59	$7,529.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $33,173.17	Facility		$714.97	$870.49	$33,173.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,742.46 / $3,587.08 / $29,091.76	Facility		$1,742.46	$3,587.08	$29,091.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,315.25 / $3,114.90 / $3,291.04	Facility		$2,315.25	$3,114.90	$3,291.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,190.71 / $2,244.78 / $26,977.17	Facility		$2,190.71	$2,244.78	$26,977.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38,536.44 / $52,812.50 / $101,024.36	Facility		$38,536.44	$52,812.50	$101,024.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,853.00 / $11,540.00 / $20,708.00	Facility		$2,853.00	$11,540.00	$20,708.00