Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,168.16 / $10,820.25 / $32,848.26	Facility		$1,168.16	$10,820.25	$32,848.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,774.95 / $20,273.81 / $38,781.51	Facility		$8,774.95	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,489.52 / $2,477.53 / $2,477.53	Facility	AS	$1,489.52	$2,477.53	$2,477.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $10,915.28	Facility		$714.97	$870.49	$10,915.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $901.28 / $1,859.04 / $9,572.34	Facility		$901.28	$1,859.04	$9,572.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,195.26 / $1,652.89 / $1,774.16	Facility		$1,195.26	$1,652.89	$1,774.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,185.50 / $1,210.14 / $8,774.95	Facility		$1,185.50	$1,210.14	$8,774.95
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