Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,182.81 / $5,004.29 / $20,680.40	Facility		$1,182.81	$5,004.29	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,173.66 / $19,913.50 / $38,781.51	Facility		$2,173.66	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,134.79 / $1,887.52 / $1,887.52	Facility	AS	$1,134.79	$1,887.52	$1,887.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $2,285.42 / $8,315.84	Facility		$714.97	$2,285.42	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $980.20 / $1,993.38 / $7,292.72	Facility		$980.20	$1,993.38	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,315.16 / $1,770.81 / $1,856.57	Facility		$1,315.16	$1,770.81	$1,856.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,233.07 / $1,266.34 / $6,526.97	Facility		$1,233.07	$1,266.34	$6,526.97
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 $5,547.00 / $24,764.99 / $40,868.01	Facility		$5,547.00	$24,764.99	$40,868.01