Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.30 / $3,463.48 / $27,982.24	Facility		$1,380.30	$3,463.48	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12,000.00 / $57,131.89 / $109,349.35	Facility		$12,000.00	$57,131.89	$109,349.35
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $5,588.41 / $9,295.29 / $9,295.29	Facility	AS	$5,588.41	$9,295.29	$9,295.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24,581.39 / $24,581.39 / $40,952.30	Facility		$24,581.39	$24,581.39	$40,952.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $933.53 / $1,802.29 / $42,431.62	Facility		$933.53	$1,802.29	$42,431.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,130.28 / $1,458.59 / $1,638.80	Facility		$1,130.28	$1,458.59	$1,638.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,002.94 / $1,035.56 / $16,362.69	Facility		$1,002.94	$1,035.56	$16,362.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37,068.65 / $57,131.89 / $109,349.35	Facility		$37,068.65	$57,131.89	$109,349.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $11,798.00 / $43,830.00	Facility		$3,960.00	$11,798.00	$43,830.00