Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,325.54 / $12,366.00 / $32,045.80	Facility		$1,325.54	$12,366.00	$32,045.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,497.21 / $20,273.81 / $38,781.51	Facility		$8,497.21	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,435.37 / $2,387.48 / $2,387.48	Facility	AS	$1,435.37	$2,387.48	$2,387.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $10,518.51	Facility		$714.97	$870.49	$10,518.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $751.18 / $1,555.85 / $9,224.37	Facility		$751.18	$1,555.85	$9,224.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,020.18 / $1,362.78 / $1,453.23	Facility		$1,020.18	$1,362.78	$1,453.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $957.19 / $991.23 / $8,497.21	Facility		$957.19	$991.23	$8,497.21
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