Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,522.58 / $9,368.00 / $45,020.92	Facility		$1,522.58	$9,368.00	$45,020.92
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 $2,800.18 / $4,657.58 / $4,657.58	Facility	AS	$2,800.18	$4,657.58	$4,657.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $20,519.93	Facility		$883.20	$1,075.31	$20,519.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $930.83 / $1,908.27 / $16,819.93	Facility		$930.83	$1,908.27	$16,819.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,250.97 / $1,687.73 / $1,790.24	Facility		$1,250.97	$1,687.73	$1,790.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,187.31 / $1,221.09 / $17,896.86	Facility		$1,187.31	$1,221.09	$17,896.86
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