Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,197.99 / $5,128.00 / $21,917.86	Facility		$1,197.99	$5,128.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,933.20 / $20,273.81 / $38,781.51	Facility		$8,933.20	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,512.62 / $2,515.96 / $2,515.96	Facility	AS	$1,512.62	$2,515.96	$2,515.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $11,084.61	Facility		$883.20	$1,075.31	$11,084.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $652.92 / $1,325.86 / $9,720.84	Facility		$652.92	$1,325.86	$9,720.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $860.96 / $1,179.86 / $1,325.93	Facility		$860.96	$1,179.86	$1,325.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $880.18 / $904.40 / $8,933.20	Facility		$880.18	$904.40	$8,933.20
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 $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00