Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,340.88 / $9,745.37 / $30,806.12	Facility		$1,340.88	$9,745.37	$30,806.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,134.79 / $1,887.52 / $1,887.52	Facility	AS	$1,134.79	$1,887.52	$1,887.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $763.42 / $1,544.47 / $7,292.72	Facility		$763.42	$1,544.47	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,012.34 / $1,385.56 / $1,467.97	Facility		$1,012.34	$1,385.56	$1,467.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.78 / $1,001.29 / $6,526.97	Facility		$970.78	$1,001.29	$6,526.97
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