Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,166.38 / $5,116.62 / $18,800.00	Facility		$1,166.38	$5,116.62	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,599.54 / $20,273.81 / $38,781.51	Facility		$8,599.54	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,431.16 / $2,380.48 / $2,380.48	Facility	AS	$1,431.16	$2,380.48	$2,380.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $10,487.68	Facility		$714.97	$870.49	$10,487.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $666.89 / $1,355.90 / $9,197.34	Facility		$666.89	$1,355.90	$9,197.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $874.04 / $1,197.29 / $1,281.04	Facility		$874.04	$1,197.29	$1,281.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $843.49 / $873.78 / $8,599.54	Facility		$843.49	$873.78	$8,599.54
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 $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00