Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,988.11 / $11,522.02 / $26,949.74	Facility		$1,988.11	$11,522.02	$26,949.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,722.80 / $16,547.20 / $26,542.00	Facility		$3,722.80	$16,547.20	$26,542.00
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $942.96 / $1,568.44 / $1,568.44	Facility	AS	$942.96	$1,568.44	$1,568.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $6,910.09	Facility		$1,005.16	$1,223.70	$6,910.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,202.25 / $2,297.69 / $6,320.69	Facility		$1,202.25	$2,297.69	$6,320.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,556.24 / $2,036.13 / $2,159.67	Facility		$1,556.24	$2,036.13	$2,159.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,439.63 / $1,994.21 / $3,953.90	Facility		$1,439.63	$1,994.21	$3,953.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,595.73 / $31,745.76	Facility		$10,761.59	$16,595.73	$31,745.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,648.57 / $4,135.00 / $10,312.00	Facility		$1,648.57	$4,135.00	$10,312.00