Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,373.71 / $5,128.00 / $20,680.40	Facility		$1,373.71	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,713.85 / $20,273.81 / $38,781.51	Facility		$6,713.85	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,528.98 / $2,543.17 / $2,543.17	Facility	AS	$1,528.98	$2,543.17	$2,543.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $11,204.44	Facility		$714.97	$870.49	$11,204.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $808.60 / $1,642.09 / $8,889.21	Facility		$808.60	$1,642.09	$8,889.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,061.06 / $1,446.53 / $1,519.56	Facility		$1,061.06	$1,446.53	$1,519.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $989.35 / $1,036.48 / $9,172.20	Facility		$989.35	$1,036.48	$9,172.20
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 $1,950.00 / $3,492.00 / $12,835.00	Facility		$1,950.00	$3,492.00	$12,835.00