Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $6,470.00 / $22,024.00	Facility		$1,733.00	$6,470.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,400.95 / $19,913.50 / $38,781.51	Facility		$6,400.95	$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 $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,026.86 / $2,127.53 / $7,292.72	Facility		$1,026.86	$2,127.53	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,370.53 / $1,875.33 / $1,967.12	Facility		$1,370.53	$1,875.33	$1,967.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,307.35 / $1,341.75 / $6,526.97	Facility		$1,307.35	$1,341.75	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,546.63 / $20,262.22 / $38,781.51	Facility		$12,546.63	$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