Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,835.93 / $6,470.00 / $24,827.00	Facility		$1,835.93	$6,470.00	$24,827.00
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 $4,620.97 / $7,686.13 / $7,686.13	Facility	AS	$4,620.97	$7,686.13	$7,686.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $1,698.13 / $33,862.83	Facility		$765.00	$1,698.13	$33,862.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,530.24 / $3,198.18 / $29,696.58	Facility		$1,530.24	$3,198.18	$29,696.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,054.08 / $2,811.32 / $2,921.87	Facility		$2,054.08	$2,811.32	$2,921.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,939.75 / $1,992.98 / $27,420.73	Facility		$1,939.75	$1,992.98	$27,420.73
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 $7,614.00 / $63,752.32 / $105,206.18	Facility		$7,614.00	$63,752.32	$105,206.18