Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,223.13 / $10,962.00 / $29,977.40	Facility		$1,223.13	$10,962.00	$29,977.40
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 $1,394.89 / $1,698.13 / $8,315.84	Facility		$1,394.89	$1,698.13	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $904.98 / $1,868.86 / $7,292.72	Facility		$904.98	$1,868.86	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,200.99 / $1,640.16 / $1,731.28	Facility		$1,200.99	$1,640.16	$1,731.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,147.45 / $1,180.89 / $6,526.97	Facility		$1,147.45	$1,180.89	$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