Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.00 / $13,704.00 / $31,852.78	Facility		$1,170.00	$13,704.00	$31,852.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,353.95 / $20,273.81 / $38,781.51	Facility		$9,353.95	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,539.94 / $2,561.40 / $2,561.40	Facility	AS	$1,539.94	$2,561.40	$2,561.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $11,284.79	Facility		$1,005.16	$1,223.70	$11,284.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $867.82 / $1,753.07 / $9,896.37	Facility		$867.82	$1,753.07	$9,896.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,157.86 / $1,584.55 / $1,690.41	Facility		$1,157.86	$1,584.55	$1,690.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,114.38 / $1,153.01 / $9,353.95	Facility		$1,114.38	$1,153.01	$9,353.95
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