Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,265.70 / $7,920.26 / $27,982.24	Facility		$1,265.70	$7,920.26	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $36,469.56 / $71,345.31	Facility		$11,500.00	$36,469.56	$71,345.31
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $3,102.45 / $5,160.35 / $5,160.35	Facility	AS	$3,102.45	$5,160.35	$5,160.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $1,223.70 / $22,735.00	Facility		$765.00	$1,223.70	$22,735.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $720.96 / $1,484.39 / $19,937.84	Facility		$720.96	$1,484.39	$19,937.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $955.99 / $1,309.18 / $1,386.90	Facility		$955.99	$1,309.18	$1,386.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $919.59 / $945.99 / $20,269.31	Facility		$919.59	$945.99	$20,269.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,215.17 / $37,275.87 / $71,345.31	Facility		$27,215.17	$37,275.87	$71,345.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $7,614.00 / $24,236.00	Facility		$3,700.00	$7,614.00	$24,236.00