Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,757.63 / $9,368.00 / $22,024.00	Facility		$1,757.63	$9,368.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $19,056.41 / $38,781.51	Facility		$1,400.00	$19,056.41	$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 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,154.06 / $2,335.44 / $7,292.72	Facility		$1,154.06	$2,335.44	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,463.28 / $1,981.19 / $2,071.96	Facility		$1,463.28	$1,981.19	$2,071.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.29 / $1,404.36 / $6,526.97	Facility		$1,380.29	$1,404.36	$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 $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00