Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,094.54 / $11,522.02 / $32,135.28	Facility		$1,094.54	$11,522.02	$32,135.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$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 $824.05 / $1,699.73 / $7,292.72	Facility		$824.05	$1,699.73	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,091.72 / $1,492.09 / $1,575.17	Facility		$1,091.72	$1,492.09	$1,575.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,045.07 / $1,074.41 / $6,526.97	Facility		$1,045.07	$1,074.41	$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 $2,225.00 / $4,785.00 / $16,315.00	Facility		$2,225.00	$4,785.00	$16,315.00