Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,370.40 / $16,398.00 / $49,721.89	Facility		$1,370.40	$16,398.00	$49,721.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $21,054.96 / $33,500.00	Facility		$11,500.00	$21,054.96	$33,500.00
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,495.98 / $2,488.28 / $2,488.28	Facility	AS	$1,495.98	$2,488.28	$2,488.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $1,621.00 / $10,962.63	Facility		$714.97	$1,621.00	$10,962.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,047.69 / $2,161.19 / $9,613.86	Facility		$1,047.69	$2,161.19	$9,613.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,392.58 / $1,897.44 / $1,971.32	Facility		$1,392.58	$1,897.44	$1,971.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,313.25 / $1,344.49 / $8,980.26	Facility		$1,313.25	$1,344.49	$8,980.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,793.48 / $20,262.22 / $38,781.51	Facility		$14,793.48	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,853.00 / $7,137.00 / $19,271.00	Facility		$2,853.00	$7,137.00	$19,271.00