Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.37 / $10,597.77 / $19,900.00	Facility		$951.37	$10,597.77	$19,900.00
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $10,894.65 / $10,894.65 / $10,894.65	Facility	AS	$10,894.65	$10,894.65	$10,894.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,791.87 / $14,291.29 / $26,963.11	Facility		$8,791.87	$14,291.29	$26,963.11
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $933.06 / $1,551.97 / $1,551.97	Facility	AS	$933.06	$1,551.97	$1,551.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,104.18 / $4,104.18 / $6,837.52	Facility		$4,104.18	$4,104.18	$6,837.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $897.41 / $1,661.29 / $11,411.87	Facility		$897.41	$1,661.29	$11,411.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,039.29 / $1,382.14 / $1,502.14	Facility		$1,039.29	$1,382.14	$1,502.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.22 / $1,024.58 / $2,659.69	Facility		$1,000.22	$1,024.58	$2,659.69
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