Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.81 / $6,072.60 / $31,202.44	Facility		$1,203.81	$6,072.60	$31,202.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,205.25 / $19,823.93 / $38,781.51	Facility		$9,205.25	$19,823.93	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,472.78 / $2,449.69 / $2,449.69	Facility	AS	$1,472.78	$2,449.69	$2,449.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $10,792.61	Facility		$625.25	$761.81	$10,792.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $699.80 / $1,428.81 / $9,464.76	Facility		$699.80	$1,428.81	$9,464.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $939.60 / $1,254.91 / $1,319.90	Facility		$939.60	$1,254.91	$1,319.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $871.12 / $900.29 / $9,205.25	Facility		$871.12	$900.29	$9,205.25
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