Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,476.68 / $10,122.46 / $22,024.00	Facility		$1,476.68	$10,122.46	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,029.19 / $20,273.81 / $38,781.51	Facility		$9,029.19	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,444.18 / $2,402.13 / $2,402.13	Facility	AS	$1,444.18	$2,402.13	$2,402.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $10,583.08	Facility		$1,005.16	$1,223.70	$10,583.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $804.31 / $1,632.08 / $9,281.02	Facility		$804.31	$1,632.08	$9,281.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,061.83 / $1,455.24 / $1,617.38	Facility		$1,061.83	$1,455.24	$1,617.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,073.16 / $1,103.20 / $9,029.19	Facility		$1,073.16	$1,103.20	$9,029.19
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 $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00