Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $6,470.00 / $18,800.00	Facility		$1,733.00	$6,470.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,148.04 / $19,913.50 / $38,781.51	Facility		$9,148.04	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,134.79 / $1,887.52 / $1,887.52	Facility	AS	$1,134.79	$1,887.52	$1,887.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,129.96 / $2,316.56 / $7,292.72	Facility		$1,129.96	$2,316.56	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,482.57 / $2,023.40 / $2,123.90	Facility		$1,482.57	$2,023.40	$2,123.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,371.68 / $1,448.69 / $9,148.04	Facility		$1,371.68	$1,448.69	$9,148.04
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