Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,529.94 / $12,134.00 / $44,629.28	Facility		$1,529.94	$12,134.00	$44,629.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,000.25 / $22,189.40 / $38,538.61	Facility		$4,000.25	$22,189.40	$38,538.61
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,192.02 / $2,105.03 / $2,105.03	Facility	AS	$1,192.02	$2,105.03	$2,105.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,076.00 / $1,258.00	Facility		$1,005.16	$1,076.00	$1,258.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,180.11 / $2,320.44 / $9,096.45	Facility		$1,180.11	$2,320.44	$9,096.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,542.03 / $2,059.92 / $2,165.44	Facility		$1,542.03	$2,059.92	$2,165.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,456.40 / $3,277.62 / $6,637.66	Facility		$1,456.40	$3,277.62	$6,637.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,916.23 / $29,154.55 / $55,801.25	Facility		$18,916.23	$29,154.55	$55,801.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,686.00 / $35,927.69 / $53,311.84	Facility		$4,686.00	$35,927.69	$53,311.84