Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.94 / $7,920.26 / $27,982.24	Facility		$1,068.94	$7,920.26	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,586.20 / $20,273.81 / $38,781.51	Facility		$8,586.20	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,476.30 / $2,455.55 / $2,455.55	Facility	AS	$1,476.30	$2,455.55	$2,455.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $10,818.43	Facility		$714.97	$870.49	$10,818.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $607.79 / $1,232.13 / $9,487.40	Facility		$607.79	$1,232.13	$9,487.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $779.26 / $1,076.69 / $1,170.49	Facility		$779.26	$1,076.69	$1,170.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $773.27 / $798.38 / $8,586.20	Facility		$773.27	$798.38	$8,586.20
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 $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00