Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,124.42 / $7,068.60 / $20,680.40	Facility		$1,124.42	$7,068.60	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,932.58 / $20,273.81 / $38,781.51	Facility		$8,932.58	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,449.86 / $2,411.58 / $2,411.58	Facility	AS	$1,449.86	$2,411.58	$2,411.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $10,624.70	Facility		$714.97	$870.49	$10,624.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $839.11 / $1,710.88 / $9,317.50	Facility		$839.11	$1,710.88	$9,317.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,120.16 / $1,549.04 / $1,684.38	Facility		$1,120.16	$1,549.04	$1,684.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,112.11 / $1,148.90 / $8,932.58	Facility		$1,112.11	$1,148.90	$8,932.58
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