Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,658.04 / $9,350.64 / $27,982.24	Facility		$1,658.04	$9,350.64	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,954.95 / $36,469.56 / $71,345.31	Facility		$10,954.95	$36,469.56	$71,345.31
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,876.95 / $4,785.27 / $4,785.27	Facility	AS	$2,876.95	$4,785.27	$4,785.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $21,082.51	Facility		$883.20	$1,075.31	$21,082.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $945.94 / $1,940.81 / $16,726.13	Facility		$945.94	$1,940.81	$16,726.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,274.98 / $1,717.21 / $1,820.39	Facility		$1,274.98	$1,717.21	$1,820.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,207.25 / $1,241.67 / $18,481.99	Facility		$1,207.25	$1,241.67	$18,481.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,749.60 / $37,275.87 / $71,345.31	Facility		$24,749.60	$37,275.87	$71,345.31
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