Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,490.59 / $7,070.29 / $18,711.00	Facility		$1,490.59	$7,070.29	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,149.29 / $20,273.81 / $38,781.51	Facility		$9,149.29	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,525.35 / $2,537.14 / $2,537.14	Facility	AS	$1,525.35	$2,537.14	$2,537.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $11,177.89	Facility		$714.97	$870.49	$11,177.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $882.28 / $1,762.48 / $9,802.64	Facility		$882.28	$1,762.48	$9,802.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,129.94 / $1,545.02 / $1,631.45	Facility		$1,129.94	$1,545.02	$1,631.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,080.85 / $1,112.80 / $9,149.29	Facility		$1,080.85	$1,112.80	$9,149.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,793.48 / $20,262.22 / $38,781.51	Facility		$14,793.48	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $6,096.98 / $16,315.00	Facility		$2,912.00	$6,096.98	$16,315.00