Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,710.74 / $7,682.00 / $19,637.13	Facility		$1,710.74	$7,682.00	$19,637.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,134.79 / $1,887.52 / $1,887.52	Facility	AS	$1,134.79	$1,887.52	$1,887.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,027.90 / $2,106.96 / $7,292.72	Facility		$1,027.90	$2,106.96	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,371.14 / $1,896.10 / $2,018.71	Facility		$1,371.14	$1,896.10	$2,018.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,323.21 / $1,376.94 / $6,526.97	Facility		$1,323.21	$1,376.94	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,225.00 / $4,785.00 / $16,315.00	Facility		$2,225.00	$4,785.00	$16,315.00