Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $7,863.94 / $22,024.00	Facility		$1,733.00	$7,863.94	$22,024.00
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 $2,909.51 / $4,839.43 / $4,839.43	Facility	AS	$2,909.51	$4,839.43	$4,839.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $21,321.10	Facility		$883.20	$1,075.31	$21,321.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,142.72 / $2,316.29 / $18,697.90	Facility		$1,142.72	$2,316.29	$18,697.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,517.53 / $2,073.65 / $2,193.58	Facility		$1,517.53	$2,073.65	$2,193.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,452.32 / $1,496.22 / $18,256.37	Facility		$1,452.32	$1,496.22	$18,256.37
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 / $11,540.00 / $19,271.00	Facility		$3,028.00	$11,540.00	$19,271.00