Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,195.20 / $7,920.26 / $30,494.41	Facility		$1,195.20	$7,920.26	$30,494.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,400.95 / $20,273.81 / $38,781.51	Facility		$6,400.95	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,467.19 / $2,440.41 / $2,440.41	Facility	AS	$1,467.19	$2,440.41	$2,440.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $10,751.71	Facility		$883.20	$1,075.31	$10,751.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $682.34 / $1,391.77 / $8,530.02	Facility		$682.34	$1,391.77	$8,530.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $911.89 / $1,230.11 / $1,318.56	Facility		$911.89	$1,230.11	$1,318.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $871.12 / $899.38 / $8,497.21	Facility		$871.12	$899.38	$8,497.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,546.63 / $20,262.22 / $38,781.51	Facility		$12,546.63	$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