Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,527.81 / $5,128.00 / $20,680.40	Facility		$1,527.81	$5,128.00	$20,680.40
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 $1,441.05 / $2,396.92 / $2,396.92	Facility	AS	$1,441.05	$2,396.92	$2,396.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $10,560.13	Facility		$714.97	$870.49	$10,560.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $850.24 / $1,741.39 / $8,378.04	Facility		$850.24	$1,741.39	$8,378.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,120.63 / $1,535.64 / $1,668.97	Facility		$1,120.63	$1,535.64	$1,668.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,113.02 / $1,138.39 / $8,598.28	Facility		$1,113.02	$1,138.39	$8,598.28
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 $1,950.00 / $3,492.00 / $12,835.00	Facility		$1,950.00	$3,492.00	$12,835.00