Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,420.54 / $5,128.00 / $20,680.40	Facility		$1,420.54	$5,128.00	$20,680.40
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 $2,912.10 / $4,843.72 / $4,843.72	Facility	AS	$2,912.10	$4,843.72	$4,843.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $21,340.07	Facility		$714.97	$870.49	$21,340.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,118.21 / $2,279.58 / $18,714.54	Facility		$1,118.21	$2,279.58	$18,714.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,489.11 / $2,038.81 / $2,137.96	Facility		$1,489.11	$2,038.81	$2,137.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,417.89 / $1,458.29 / $18,299.68	Facility		$1,417.89	$1,458.29	$18,299.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,749.60 / $37,275.87 / $71,345.31	Facility		$24,749.60	$37,275.87	$71,345.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00