Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,363.22 / $9,368.00 / $27,982.24	Facility		$1,363.22	$9,368.00	$27,982.24
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 $3,206.78 / $5,333.89 / $5,333.89	Facility	AS	$3,206.78	$5,333.89	$5,333.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $23,499.54	Facility		$883.20	$1,075.31	$23,499.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $780.39 / $1,589.53 / $18,643.71	Facility		$780.39	$1,589.53	$18,643.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,030.96 / $1,410.35 / $1,493.43	Facility		$1,030.96	$1,410.35	$1,493.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $987.09 / $1,018.65 / $20,398.08	Facility		$987.09	$1,018.65	$20,398.08
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