Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,324.71 / $11,847.89 / $46,436.88	Facility		$2,324.71	$11,847.89	$46,436.88
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 62 Low / Median / High Price $7,450.10 / $13,156.44 / $13,156.44	Facility	62	$7,450.10	$13,156.44	$13,156.44
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 $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,971.67 / $3,826.14 / $9,096.45	Facility		$1,971.67	$3,826.14	$9,096.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,552.41 / $3,287.77 / $3,478.20	Facility		$2,552.41	$3,287.77	$3,478.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,333.40 / $3,277.62 / $6,637.66	Facility		$2,333.40	$3,277.62	$6,637.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21,758.63 / $29,171.22 / $55,801.25	Facility		$21,758.63	$29,171.22	$55,801.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,900.00 / $4,686.00 / $19,271.00	Facility		$1,900.00	$4,686.00	$19,271.00