Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.40 / $9,673.00 / $46,345.20	Facility		$1,861.40	$9,673.00	$46,345.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $36,469.56 / $71,345.31	Facility		$11,500.00	$36,469.56	$71,345.31
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $3,099.49 / $5,155.43 / $5,155.43	Facility	AS	$3,099.49	$5,155.43	$5,155.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $22,713.30	Facility		$883.20	$1,075.31	$22,713.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,097.05 / $2,258.40 / $19,918.82	Facility		$1,097.05	$2,258.40	$19,918.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,454.81 / $1,976.37 / $2,038.81	Facility		$1,454.81	$1,976.37	$2,038.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,358.09 / $1,390.65 / $19,376.93	Facility		$1,358.09	$1,390.65	$19,376.93
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