Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,333.75 / $7,863.94 / $20,680.40	Facility		$1,333.75	$7,863.94	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,013.44 / $19,913.50 / $38,781.51	Facility		$6,013.44	$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 $883.20 / $1,075.31 / $8,315.84	Facility		$883.20	$1,075.31	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $732.54 / $1,499.22 / $7,292.72	Facility		$732.54	$1,499.22	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $953.54 / $1,314.30 / $1,496.78	Facility		$953.54	$1,314.30	$1,496.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,008.38 / $1,020.94 / $6,526.97	Facility		$1,008.38	$1,020.94	$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 $1,950.00 / $3,492.00 / $12,835.00	Facility		$1,950.00	$3,492.00	$12,835.00