Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,108.53 / $7,920.26 / $27,982.24	Facility		$1,108.53	$7,920.26	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$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 $888.86 / $1,810.54 / $6,597.50	Facility		$888.86	$1,810.54	$6,597.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,166.69 / $1,591.92 / $1,742.00	Facility		$1,166.69	$1,591.92	$1,742.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,162.40 / $1,188.20 / $6,526.97	Facility		$1,162.40	$1,188.20	$6,526.97
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