Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,050.97 / $5,128.00 / $20,680.40	Facility		$1,050.97	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,005.11 / $19,913.50 / $27,396.88	Facility		$10,005.11	$19,913.50	$27,396.88
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,134.79 / $1,887.52 / $1,887.52	Facility	AS	$1,134.79	$1,887.52	$1,887.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $8,315.84	Facility		$1,005.16	$1,223.70	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $873.08 / $1,800.75 / $7,292.72	Facility		$873.08	$1,800.75	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,157.86 / $1,582.54 / $1,665.62	Facility		$1,157.86	$1,582.54	$1,665.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,104.41 / $1,136.09 / $6,526.97	Facility		$1,104.41	$1,136.09	$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