Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $964.66 / $7,682.00 / $22,024.00	Facility		$964.66	$7,682.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,005.11 / $19,913.50 / $27,396.88	Facility		$10,005.11	$19,913.50	$27,396.88
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 $770.38 / $1,579.59 / $7,292.72	Facility		$770.38	$1,579.59	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,037.31 / $1,434.47 / $1,532.96	Facility		$1,037.31	$1,434.47	$1,532.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,003.40 / $1,045.61 / $6,526.97	Facility		$1,003.40	$1,045.61	$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 $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00