Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.74 / $5,128.00 / $22,024.00	Facility		$1,348.74	$5,128.00	$22,024.00
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 $3,212.70 / $5,343.73 / $5,343.73	Facility	AS	$3,212.70	$5,343.73	$5,343.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $23,542.91	Facility		$883.20	$1,075.31	$23,542.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $830.09 / $1,718.86 / $18,678.12	Facility		$830.09	$1,718.86	$18,678.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,102.99 / $1,499.46 / $1,573.52	Facility		$1,102.99	$1,499.46	$1,573.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,048.24 / $1,070.75 / $20,424.83	Facility		$1,048.24	$1,070.75	$20,424.83
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