Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,576.88 / $12,461.00 / $38,888.94	Facility		$1,576.88	$12,461.00	$38,888.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13,152.00 / $27,770.10 / $55,801.25	Facility		$13,152.00	$27,770.10	$55,801.25
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,582.51 / $2,632.21 / $2,632.21	Facility	AS	$1,582.51	$2,632.21	$2,632.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,960.89 / $6,960.89 / $11,596.76	Facility		$6,960.89	$6,960.89	$11,596.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,137.75 / $2,041.17 / $12,028.17	Facility		$1,137.75	$2,041.17	$12,028.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,344.97 / $1,742.03 / $1,863.48	Facility		$1,344.97	$1,742.03	$1,863.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,213.13 / $1,230.24 / $4,000.25	Facility		$1,213.13	$1,230.24	$4,000.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,916.23 / $29,070.27 / $55,801.25	Facility		$18,916.23	$29,070.27	$55,801.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $4,686.00 / $20,708.00	Facility		$3,028.00	$4,686.00	$20,708.00