Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,132.00 / $22,024.00	Facility		$1,733.00	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $20,273.81 / $38,781.51	Facility		$6,526.97	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,454.86 / $2,419.88 / $2,419.88	Facility	AS	$1,454.86	$2,419.88	$2,419.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $10,661.30	Facility		$1,005.16	$1,223.70	$10,661.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,360.66 / $2,802.74 / $9,349.60	Facility		$1,360.66	$2,802.74	$9,349.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,813.00 / $2,470.96 / $2,596.92	Facility		$1,813.00	$2,470.96	$2,596.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,716.87 / $1,771.33 / $6,526.97	Facility		$1,716.87	$1,771.33	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00