Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,560.00 / $7,144.00 / $27,982.24	Facility		$1,560.00	$7,144.00	$27,982.24
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 $1,028.89 / $2,126.76 / $7,292.72	Facility		$1,028.89	$2,126.76	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,365.63 / $1,866.62 / $1,978.51	Facility		$1,365.63	$1,866.62	$1,978.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,311.44 / $1,349.52 / $6,526.97	Facility		$1,311.44	$1,349.52	$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 $4,016.00 / $24,764.99 / $40,868.01	Facility		$4,016.00	$24,764.99	$40,868.01