Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,714.45 / $9,673.00 / $34,837.15	Facility		$1,714.45	$9,673.00	$34,837.15
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 $2,898.78 / $4,821.58 / $4,821.58	Facility	AS	$2,898.78	$4,821.58	$4,821.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $21,242.48	Facility		$883.20	$1,075.31	$21,242.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $983.10 / $1,981.70 / $16,853.05	Facility		$983.10	$1,981.70	$16,853.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,294.58 / $1,790.24 / $1,885.38	Facility		$1,294.58	$1,790.24	$1,885.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,249.36 / $1,286.00 / $18,474.34	Facility		$1,249.36	$1,286.00	$18,474.34
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 $5,547.00 / $44,605.09 / $73,608.78	Facility		$5,547.00	$44,605.09	$73,608.78