Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $16,342.00 / $27,982.24	Facility		$1,733.00	$16,342.00	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,513.62 / $16,547.20 / $26,542.00	Facility		$2,513.62	$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 $1,394.89 / $1,698.13 / $6,910.09	Facility		$1,394.89	$1,698.13	$6,910.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,205.75 / $2,391.48 / $6,320.69	Facility		$1,205.75	$2,391.48	$6,320.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,533.57 / $2,040.15 / $2,137.30	Facility		$1,533.57	$2,040.15	$2,137.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,417.89 / $1,994.21 / $3,953.90	Facility		$1,417.89	$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 $1,400.00 / $3,509.00 / $16,315.00	Facility		$1,400.00	$3,509.00	$16,315.00