Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,346.19 / $11,837.00 / $59,297.65	Facility		$1,346.19	$11,837.00	$59,297.65
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 $3,053.61 / $5,079.12 / $5,079.12	Facility	AS	$3,053.61	$5,079.12	$5,079.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $22,377.10	Facility		$883.20	$1,075.31	$22,377.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $827.74 / $1,711.21 / $17,753.22	Facility		$827.74	$1,711.21	$17,753.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,084.80 / $1,500.13 / $1,578.52	Facility		$1,084.80	$1,500.13	$1,578.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,042.34 / $1,076.69 / $18,921.81	Facility		$1,042.34	$1,076.69	$18,921.81
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