Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,510.89 / $7,863.94 / $30,494.41	Facility		$1,510.89	$7,863.94	$30,494.41
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 $2,903.03 / $4,828.66 / $4,828.66	Facility	AS	$2,903.03	$4,828.66	$4,828.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $21,273.65	Facility		$883.20	$1,075.31	$21,273.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,141.38 / $2,378.55 / $16,877.79	Facility		$1,141.38	$2,378.55	$16,877.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,526.84 / $2,085.71 / $2,199.61	Facility		$1,526.84	$2,085.71	$2,199.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,460.93 / $1,500.33 / $18,564.87	Facility		$1,460.93	$1,500.33	$18,564.87
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