Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,362.91 / $5,128.00 / $21,917.86	Facility		$1,362.91	$5,128.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,932.58 / $20,273.81 / $38,781.51	Facility		$8,932.58	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,550.91 / $2,579.65 / $2,579.65	Facility	AS	$1,550.91	$2,579.65	$2,579.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $11,365.15	Facility		$883.20	$1,075.31	$11,365.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $775.36 / $1,606.36 / $9,966.86	Facility		$775.36	$1,606.36	$9,966.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,039.25 / $1,407.67 / $1,489.41	Facility		$1,039.25	$1,407.67	$1,489.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.18 / $1,015.91 / $8,932.58	Facility		$986.18	$1,015.91	$8,932.58
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 $2,853.00 / $5,851.00 / $19,271.00	Facility		$2,853.00	$5,851.00	$19,271.00