Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,915.06 / $7,920.26 / $21,112.09	Facility		$1,915.06	$7,920.26	$21,112.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,008.84 / $20,273.81 / $38,781.51	Facility		$9,008.84	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,479.43 / $2,460.76 / $2,460.76	Facility	AS	$1,479.43	$2,460.76	$2,460.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $10,841.38	Facility		$883.20	$1,075.31	$10,841.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,122.13 / $2,272.94 / $9,507.54	Facility		$1,122.13	$2,272.94	$9,507.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,459.22 / $1,996.60 / $2,099.78	Facility		$1,459.22	$1,996.60	$2,099.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,395.69 / $1,432.24 / $9,008.84	Facility		$1,395.69	$1,432.24	$9,008.84
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 $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00