Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.51 / $5,116.62 / $18,819.91	Facility		$988.51	$5,116.62	$18,819.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,995.52 / $20,273.81 / $38,781.51	Facility		$8,995.52	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,572.05 / $2,614.82 / $2,614.82	Facility	AS	$1,572.05	$2,614.82	$2,614.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $11,520.13	Facility		$714.97	$870.49	$11,520.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $841.08 / $1,688.25 / $10,102.78	Facility		$841.08	$1,688.25	$10,102.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,080.94 / $1,481.37 / $1,565.12	Facility		$1,080.94	$1,481.37	$1,565.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,035.56 / $1,067.55 / $8,995.52	Facility		$1,035.56	$1,067.55	$8,995.52
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 $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00