Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,081.01 / $12,616.69 / $32,045.80	Facility		$1,081.01	$12,616.69	$32,045.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,954.95 / $21,054.96 / $27,396.88	Facility		$10,954.95	$21,054.96	$27,396.88
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,476.30 / $2,455.55 / $2,455.55	Facility	AS	$1,476.30	$2,455.55	$2,455.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $10,818.43	Facility		$714.97	$870.49	$10,818.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $823.71 / $1,690.54 / $9,487.40	Facility		$823.71	$1,690.54	$9,487.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,088.29 / $1,482.71 / $1,553.73	Facility		$1,088.29	$1,482.71	$1,553.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,030.11 / $1,059.78 / $8,767.32	Facility		$1,030.11	$1,059.78	$8,767.32
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