Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,131.18 / $7,863.94 / $20,680.40	Facility		$1,131.18	$7,863.94	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,886.41 / $16,351.48 / $31,278.54	Facility		$9,886.41	$16,351.48	$31,278.54
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $924.53 / $1,537.78 / $1,537.78	Facility	AS	$924.53	$1,537.78	$1,537.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,066.66 / $4,066.66 / $6,775.01	Facility		$4,066.66	$4,066.66	$6,775.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,088.22 / $1,858.88 / $12,766.31	Facility		$1,088.22	$1,858.88	$12,766.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,228.69 / $1,699.12 / $1,783.54	Facility		$1,228.69	$1,699.12	$1,783.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,190.48 / $1,216.53 / $2,429.53	Facility		$1,190.48	$1,216.53	$2,429.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,684.88 / $16,342.14 / $31,278.54	Facility		$10,684.88	$16,342.14	$31,278.54
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