Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,681.32 / $7,489.85 / $20,680.40	Facility		$1,681.32	$7,489.85	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,916.69 / $20,273.81 / $38,781.51	Facility		$8,916.69	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,528.78 / $2,542.84 / $2,542.84	Facility	AS	$1,528.78	$2,542.84	$2,542.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $11,203.00	Facility		$714.97	$870.49	$11,203.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,020.94 / $2,077.98 / $9,824.66	Facility		$1,020.94	$2,077.98	$9,824.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,365.81 / $1,888.73 / $1,976.50	Facility		$1,365.81	$1,888.73	$1,976.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,316.87 / $1,348.15 / $8,916.69	Facility		$1,316.87	$1,348.15	$8,916.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,669.79 / $20,262.22 / $38,781.51	Facility		$14,669.79	$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