Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,519.76 / $6,470.00 / $22,024.00	Facility		$1,519.76	$6,470.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,713.85 / $20,273.81 / $38,781.51	Facility		$6,713.85	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,438.31 / $2,392.36 / $2,392.36	Facility	AS	$1,438.31	$2,392.36	$2,392.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $10,540.05	Facility		$1,005.16	$1,223.70	$10,540.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $864.01 / $1,772.26 / $8,362.11	Facility		$864.01	$1,772.26	$8,362.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,146.10 / $1,566.46 / $1,665.62	Facility		$1,146.10	$1,566.46	$1,665.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,105.77 / $1,136.09 / $8,497.21	Facility		$1,105.77	$1,136.09	$8,497.21
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