Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.13 / $2,103.03 / $21,917.86	Facility		$1,045.13	$2,103.03	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,732.72 / $19,823.93 / $38,781.51	Facility		$2,732.72	$19,823.93	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $149.85 / $266.74 / $266.74	Facility	AS	$149.85	$266.74	$266.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $11,327.14	Facility		$883.20	$1,075.31	$11,327.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $702.74 / $1,309.82 / $7,631.70	Facility		$702.74	$1,309.82	$7,631.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $913.99 / $1,512.19 / $1,587.23	Facility		$913.99	$1,512.19	$1,587.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,053.23 / $1,082.63 / $9,080.03	Facility		$1,053.23	$1,082.63	$9,080.03
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 $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00