Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,533.52 / $5,128.00 / $21,917.86	Facility		$1,533.52	$5,128.00	$21,917.86
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 $840.42 / $1,717.19 / $7,292.72	Facility		$840.42	$1,717.19	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,097.59 / $1,504.82 / $1,698.45	Facility		$1,097.59	$1,504.82	$1,698.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.75 / $1,158.50 / $6,526.97	Facility		$1,139.75	$1,158.50	$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 $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00