Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,646.65 / $4,011.00 / $18,711.00	Facility		$1,646.65	$4,011.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,223.84 / $19,056.41 / $38,781.51	Facility		$1,223.84	$19,056.41	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $920.33 / $1,625.25 / $1,625.25	Facility	AS	$920.33	$1,625.25	$1,625.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,000.00	Facility		$714.97	$870.49	$2,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $903.63 / $1,888.24 / $6,248.40	Facility		$903.63	$1,888.24	$6,248.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,235.48 / $1,708.50 / $1,794.26	Facility		$1,235.48	$1,708.50	$1,794.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,190.94 / $1,190.94 / $1,223.84	Facility		$1,190.94	$1,190.94	$1,223.84
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