Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,319.54 / $11,399.85 / $32,045.80	Facility		$1,319.54	$11,399.85	$32,045.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,628.78 / $20,273.81 / $38,781.51	Facility		$8,628.78	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,543.95 / $2,568.08 / $2,568.08	Facility	AS	$1,543.95	$2,568.08	$2,568.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $11,314.20	Facility		$714.97	$870.49	$11,314.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $762.60 / $1,555.85 / $9,922.18	Facility		$762.60	$1,555.85	$9,922.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,002.05 / $1,368.14 / $1,443.85	Facility		$1,002.05	$1,368.14	$1,443.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $959.00 / $984.84 / $8,628.78	Facility		$959.00	$984.84	$8,628.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,793.48 / $20,262.22 / $38,781.51	Facility		$14,793.48	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00