Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.41 / $11,831.13 / $50,921.12	Facility		$1,272.41	$11,831.13	$50,921.12
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 $3,185.50 / $5,298.50 / $5,298.50	Facility	AS	$3,185.50	$5,298.50	$5,298.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $23,343.64	Facility		$883.20	$1,075.31	$23,343.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $828.02 / $1,675.65 / $18,520.04	Facility		$828.02	$1,675.65	$18,520.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,075.08 / $1,420.79 / $1,472.88	Facility		$1,075.08	$1,420.79	$1,472.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $981.20 / $1,002.20 / $20,088.29	Facility		$981.20	$1,002.20	$20,088.29
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