Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,440.56 / $7,682.00 / $27,982.24	Facility		$1,440.56	$7,682.00	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,202.70 / $20,273.81 / $38,781.51	Facility		$9,202.70	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,496.95 / $2,489.91 / $2,489.91	Facility	AS	$1,496.95	$2,489.91	$2,489.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $10,969.81	Facility		$714.97	$870.49	$10,969.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,181.00 / $2,457.37 / $9,620.16	Facility		$1,181.00	$2,457.37	$9,620.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,583.42 / $2,162.76 / $2,274.60	Facility		$1,583.42	$2,162.76	$2,274.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,515.29 / $1,547.86 / $9,202.70	Facility		$1,515.29	$1,547.86	$9,202.70
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 $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00