Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,257.69 / $9,368.00 / $27,027.55	Facility		$1,257.69	$9,368.00	$27,027.55
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 $883.20 / $1,075.31 / $8,315.84	Facility		$883.20	$1,075.31	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $722.30 / $1,466.04 / $7,292.72	Facility		$722.30	$1,466.04	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $948.64 / $1,296.45 / $1,380.87	Facility		$948.64	$1,296.45	$1,380.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $914.15 / $941.88 / $6,526.97	Facility		$914.15	$941.88	$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 $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00