Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,417.89 / $13,222.56 / $33,327.62	Facility		$1,417.89	$13,222.56	$33,327.62
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 $1,155.20 / $2,337.76 / $7,292.72	Facility		$1,155.20	$2,337.76	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,494.23 / $1,981.86 / $2,058.36	Facility		$1,494.23	$1,981.86	$2,058.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,371.23 / $1,398.42 / $6,526.97	Facility		$1,371.23	$1,398.42	$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