Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,447.09 / $7,863.94 / $22,024.00	Facility		$1,447.09	$7,863.94	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,882.75 / $20,273.81 / $38,781.51	Facility		$9,882.75	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,533.48 / $2,550.66 / $2,550.66	Facility	AS	$1,533.48	$2,550.66	$2,550.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $11,237.44	Facility		$883.20	$1,075.31	$11,237.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $837.48 / $1,715.52 / $9,854.86	Facility		$837.48	$1,715.52	$9,854.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,125.04 / $1,507.50 / $1,585.22	Facility		$1,125.04	$1,507.50	$1,585.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.86 / $1,081.26 / $9,882.75	Facility		$1,051.86	$1,081.26	$9,882.75
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 $3,028.00 / $6,096.98 / $19,271.00	Facility		$3,028.00	$6,096.98	$19,271.00