Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,206.94 / $8,878.56 / $27,982.24	Facility		$1,206.94	$8,878.56	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,699.34 / $20,273.81 / $38,781.51	Facility		$8,699.34	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,496.86 / $2,489.75 / $2,489.75	Facility	AS	$1,496.86	$2,489.75	$2,489.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $10,969.10	Facility		$883.20	$1,075.31	$10,969.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $700.47 / $1,425.15 / $9,619.54	Facility		$700.47	$1,425.15	$9,619.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $925.88 / $1,259.59 / $1,325.93	Facility		$925.88	$1,259.59	$1,325.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $883.35 / $904.40 / $8,699.34	Facility		$883.35	$904.40	$8,699.34
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