Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,246.60 / $8,332.89 / $26,246.05	Facility		$1,246.60	$8,332.89	$26,246.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,791.87 / $14,095.51 / $26,963.11	Facility		$8,791.87	$14,095.51	$26,963.11
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $719.36 / $1,196.53 / $1,196.53	Facility	AS	$719.36	$1,196.53	$1,196.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,164.22 / $3,164.22 / $5,271.55	Facility		$3,164.22	$3,164.22	$5,271.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,105.77 / $1,982.59 / $11,411.87	Facility		$1,105.77	$1,982.59	$11,411.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,256.79 / $1,689.94 / $1,772.15	Facility		$1,256.79	$1,689.94	$1,772.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,175.99 / $1,199.17 / $1,964.09	Facility		$1,175.99	$1,199.17	$1,964.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,911.79 / $14,087.45 / $26,963.11	Facility		$9,911.79	$14,087.45	$26,963.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00