Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $7,920.26 / $27,982.24	Facility		$1,733.00	$7,920.26	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $36,469.56 / $71,345.31	Facility		$11,500.00	$36,469.56	$71,345.31
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $3,134.64 / $5,213.89 / $5,213.89	Facility	AS	$3,134.64	$5,213.89	$5,213.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $22,970.86	Facility		$883.20	$1,075.31	$22,970.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,005.06 / $2,063.23 / $20,144.68	Facility		$1,005.06	$2,063.23	$20,144.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,342.32 / $1,810.34 / $1,902.13	Facility		$1,342.32	$1,810.34	$1,902.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,261.15 / $1,297.42 / $20,001.59	Facility		$1,261.15	$1,297.42	$20,001.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,749.60 / $37,275.87 / $71,345.31	Facility		$24,749.60	$37,275.87	$71,345.31
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