Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.83 / $4,500.00 / $20,680.40	Facility		$1,121.83	$4,500.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $26,542.00 / $57,131.89 / $109,349.35	Facility		$26,542.00	$57,131.89	$109,349.35
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $5,584.23 / $9,288.33 / $9,288.33	Facility	AS	$5,584.23	$9,288.33	$9,288.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24,562.99 / $24,562.99 / $40,921.66	Facility		$24,562.99	$24,562.99	$40,921.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $995.82 / $1,820.46 / $42,431.62	Facility		$995.82	$1,820.46	$42,431.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,138.27 / $1,564.45 / $1,616.04	Facility		$1,138.27	$1,564.45	$1,616.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.34 / $1,102.28 / $16,350.51	Facility		$1,071.34	$1,102.28	$16,350.51
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 $23,233.00 / $71,991.41 / $115,151.94	Facility		$23,233.00	$71,991.41	$115,151.94