Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.77 / $9,124.81 / $31,027.73	Facility		$1,048.77	$9,124.81	$31,027.73
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 $1,487.95 / $2,474.92 / $2,474.92	Facility	AS	$1,487.95	$2,474.92	$2,474.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $10,903.82	Facility		$883.20	$1,075.31	$10,903.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $797.79 / $1,611.22 / $9,562.28	Facility		$797.79	$1,611.22	$9,562.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,058.89 / $1,434.47 / $1,516.21	Facility		$1,058.89	$1,434.47	$1,516.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,003.85 / $1,034.19 / $6,526.97	Facility		$1,003.85	$1,034.19	$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