Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,377.84 / $9,464.00 / $27,982.24	Facility		$1,377.84	$9,464.00	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,005.11 / $19,913.50 / $27,396.88	Facility		$10,005.11	$19,913.50	$27,396.88
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 $1,394.89 / $1,698.13 / $8,315.84	Facility		$1,394.89	$1,698.13	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $790.47 / $1,619.57 / $7,292.72	Facility		$790.47	$1,619.57	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,044.19 / $1,429.11 / $1,511.52	Facility		$1,044.19	$1,429.11	$1,511.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,002.04 / $1,030.99 / $6,526.97	Facility		$1,002.04	$1,030.99	$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