Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,656.45 / $5,128.00 / $22,024.00	Facility		$1,656.45	$5,128.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $52,812.50 / $101,024.36	Facility		$11,500.00	$52,812.50	$101,024.36
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $4,588.43 / $7,632.03 / $7,632.03	Facility	AS	$4,588.43	$7,632.03	$7,632.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $33,624.49	Facility		$883.20	$1,075.31	$33,624.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,312.21 / $2,720.64 / $26,676.50	Facility		$1,312.21	$2,720.64	$26,676.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,732.57 / $2,395.92 / $2,498.42	Facility		$1,732.57	$2,395.92	$2,498.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,657.98 / $1,704.15 / $25,894.41	Facility		$1,657.98	$1,704.15	$25,894.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38,536.44 / $52,812.50 / $101,024.36	Facility		$38,536.44	$52,812.50	$101,024.36
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