Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $7,920.26 / $27,982.24	Facility		$1,733.00	$7,920.26	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,649.77 / $37,275.87 / $71,345.31	Facility		$1,649.77	$37,275.87	$71,345.31
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $3,120.39 / $5,190.20 / $5,190.20	Facility	AS	$3,120.39	$5,190.20	$5,190.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $22,866.48	Facility		$714.97	$870.49	$22,866.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,328.49 / $2,673.41 / $20,053.14	Facility		$1,328.49	$2,673.41	$20,053.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.34 / $2,318.19 / $2,418.69	Facility		$1,698.34	$2,318.19	$2,418.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,610.42 / $1,649.77 / $19,647.18	Facility		$1,610.42	$1,649.77	$19,647.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,215.17 / $37,275.87 / $71,345.31	Facility		$27,215.17	$37,275.87	$71,345.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $9,089.00 / $24,236.00	Facility		$3,340.00	$9,089.00	$24,236.00