Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,590.07 / $8,878.56 / $35,533.29	Facility		$1,590.07	$8,878.56	$35,533.29
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 $2,838.29 / $4,720.97 / $4,720.97	Facility	AS	$2,838.29	$4,720.97	$4,720.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $20,799.20	Facility		$883.20	$1,075.31	$20,799.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $910.68 / $1,884.93 / $16,819.93	Facility		$910.68	$1,884.93	$16,819.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,227.50 / $1,655.57 / $1,744.01	Facility		$1,227.50	$1,655.57	$1,744.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,157.42 / $1,189.57 / $18,299.68	Facility		$1,157.42	$1,189.57	$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 / $11,540.00 / $19,271.00	Facility		$3,028.00	$11,540.00	$19,271.00