Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,160.92 / $11,915.00 / $30,891.60	Facility		$1,160.92	$11,915.00	$30,891.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,090.19 / $20,273.81 / $38,781.51	Facility		$9,090.19	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,521.14 / $2,530.14 / $2,530.14	Facility	AS	$1,521.14	$2,530.14	$2,530.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $11,147.03	Facility		$714.97	$870.49	$11,147.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $956.35 / $1,933.30 / $9,775.58	Facility		$956.35	$1,933.30	$9,775.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,253.89 / $1,733.96 / $1,841.16	Facility		$1,253.89	$1,733.96	$1,841.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,217.66 / $1,255.83 / $9,090.19	Facility		$1,217.66	$1,255.83	$9,090.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,669.79 / $20,262.22 / $38,781.51	Facility		$14,669.79	$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