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 $1,376.94 / $18,220.34 / $35,644.43	Facility		$1,376.94	$18,220.34	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $140.36 / $459.90 / $459.90	Facility	AS	$140.36	$459.90	$459.90
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 $952.70 / $1,960.48 / $2,730.45	Facility		$952.70	$1,960.48	$2,730.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,398.46 / $1,912.18 / $2,018.71	Facility		$1,398.46	$1,912.18	$2,018.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,341.79 / $1,341.79 / $1,376.94	Facility		$1,341.79	$1,341.79	$1,376.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,233.34 / $18,633.84 / $35,644.43	Facility		$14,233.34	$18,633.84	$35,644.43
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00