Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $21,917.86	Facility		$1,733.00	$5,128.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,408.47 / $17,466.05 / $35,644.43	Facility		$1,408.47	$17,466.05	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $143.57 / $470.35 / $470.35	Facility	AS	$143.57	$470.35	$470.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $970.55 / $1,994.72 / $2,786.04	Facility		$970.55	$1,994.72	$2,786.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,409.41 / $1,949.03 / $2,064.94	Facility		$1,409.41	$1,949.03	$2,064.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,369.87 / $1,408.47 / $6,526.97	Facility		$1,369.87	$1,408.47	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,154.00 / $18,623.18 / $35,644.43	Facility		$12,154.00	$18,623.18	$35,644.43
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