Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $21,917.86	Facility		$1,733.00	$5,128.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,635.15 / $19,823.93 / $38,781.51	Facility		$1,635.15	$19,823.93	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,134.79 / $1,887.52 / $1,887.52	Facility	AS	$1,134.79	$1,887.52	$1,887.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,240.18 / $2,504.03 / $7,292.72	Facility		$1,240.18	$2,504.03	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,654.24 / $2,262.59 / $2,397.26	Facility		$1,654.24	$2,262.59	$2,397.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,582.33 / $1,635.15 / $6,526.97	Facility		$1,582.33	$1,635.15	$6,526.97
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 $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00