Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,195.26 / $11,837.00 / $57,402.32	Facility		$1,195.26	$11,837.00	$57,402.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $36,469.56 / $71,345.31	Facility		$11,500.00	$36,469.56	$71,345.31
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,916.54 / $4,851.12 / $4,851.12	Facility	AS	$2,916.54	$4,851.12	$4,851.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $21,372.62	Facility		$883.20	$1,075.31	$21,372.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $934.81 / $1,887.41 / $16,956.29	Facility		$934.81	$1,887.41	$16,956.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,232.10 / $1,703.14 / $1,794.93	Facility		$1,232.10	$1,703.14	$1,794.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,189.58 / $1,224.30 / $18,805.80	Facility		$1,189.58	$1,224.30	$18,805.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,749.60 / $37,275.87 / $71,345.31	Facility		$24,749.60	$37,275.87	$71,345.31
United Facility/Professional Facility Modifier Low / Median / High Price $5,547.00 / $44,605.09 / $73,608.78	Facility		$5,547.00	$44,605.09	$73,608.78