Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.55 / $8,369.76 / $31,202.44	Facility		$966.55	$8,369.76	$31,202.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $19,056.41 / $38,781.51	Facility		$2,000.00	$19,056.41	$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 $800.88 / $1,642.93 / $7,292.72	Facility		$800.88	$1,642.93	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,059.86 / $1,447.87 / $1,533.63	Facility		$1,059.86	$1,447.87	$1,533.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,016.08 / $1,046.07 / $6,526.97	Facility		$1,016.08	$1,046.07	$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 $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00