Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,370.21 / $3,925.18 / $18,711.00	Facility		$1,370.21	$3,925.18	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16,394.00 / $35,570.92 / $69,587.31	Facility		$16,394.00	$35,570.92	$69,587.31
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $3,450.80 / $5,739.78 / $5,739.78	Facility	AS	$3,450.80	$5,739.78	$5,739.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,178.84 / $15,178.84 / $25,287.78	Facility		$15,178.84	$15,178.84	$25,287.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $928.20 / $1,800.64 / $25,754.14	Facility		$928.20	$1,800.64	$25,754.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,114.39 / $1,456.58 / $1,587.02	Facility		$1,114.39	$1,456.58	$1,587.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $997.96 / $1,028.25 / $9,752.64	Facility		$997.96	$1,028.25	$9,752.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,589.60 / $35,570.92 / $69,587.31	Facility		$23,589.60	$35,570.92	$69,587.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $13,441.00 / $25,984.84	Facility		$3,340.00	$13,441.00	$25,984.84