Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,392.86 / $9,095.84 / $31,202.44	Facility		$1,392.86	$9,095.84	$31,202.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,683.44 / $20,273.81 / $38,781.51	Facility		$8,683.44	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,461.71 / $2,431.29 / $2,431.29	Facility	AS	$1,461.71	$2,431.29	$2,431.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $10,711.53	Facility		$714.97	$870.49	$10,711.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,017.47 / $2,116.03 / $9,393.66	Facility		$1,017.47	$2,116.03	$9,393.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,378.37 / $1,874.66 / $1,997.27	Facility		$1,378.37	$1,874.66	$1,997.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,331.37 / $1,362.32 / $8,683.44	Facility		$1,331.37	$1,362.32	$8,683.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,669.79 / $20,262.22 / $38,781.51	Facility		$14,669.79	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,853.00 / $5,851.00 / $19,271.00	Facility		$2,853.00	$5,851.00	$19,271.00