Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,399.88 / $6,470.00 / $20,680.40	Facility		$1,399.88	$6,470.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,092.74 / $20,273.81 / $38,781.51	Facility		$9,092.74	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,540.14 / $2,561.73 / $2,561.73	Facility	AS	$1,540.14	$2,561.73	$2,561.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $11,286.23	Facility		$714.97	$870.49	$11,286.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $805.92 / $1,652.94 / $9,897.66	Facility		$805.92	$1,652.94	$9,897.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,064.28 / $1,446.14 / $1,514.87	Facility		$1,064.28	$1,446.14	$1,514.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,020.61 / $1,033.28 / $9,092.74	Facility		$1,020.61	$1,033.28	$9,092.74
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