Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,549.61 / $9,095.84 / $26,963.44	Facility		$1,549.61	$9,095.84	$26,963.44
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 $2,743.02 / $4,562.51 / $4,562.51	Facility	AS	$2,743.02	$4,562.51	$4,562.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $20,101.07	Facility		$714.97	$870.49	$20,101.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $888.86 / $1,815.65 / $16,819.93	Facility		$888.86	$1,815.65	$16,819.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,176.49 / $1,608.00 / $1,699.79	Facility		$1,176.49	$1,608.00	$1,699.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.53 / $1,159.41 / $17,264.52	Facility		$1,122.53	$1,159.41	$17,264.52
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 $2,853.00 / $5,851.00 / $20,708.00	Facility		$2,853.00	$5,851.00	$20,708.00