Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $13,022.88 / $44,896.04	Facility		$1,733.00	$13,022.88	$44,896.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $27,770.10 / $55,801.25	Facility		$2,800.00	$27,770.10	$55,801.25
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,582.51 / $2,632.21 / $2,632.21	Facility	AS	$1,582.51	$2,632.21	$2,632.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,960.89 / $6,960.89 / $11,596.76	Facility		$6,960.89	$6,960.89	$11,596.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,210.02 / $2,179.44 / $10,607.60	Facility		$1,210.02	$2,179.44	$10,607.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,414.63 / $1,854.56 / $1,966.56	Facility		$1,414.63	$1,854.56	$1,966.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,310.08 / $1,337.18 / $4,000.25	Facility		$1,310.08	$1,337.18	$4,000.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,916.23 / $29,070.27 / $55,801.25	Facility		$18,916.23	$29,070.27	$55,801.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $4,686.00 / $20,708.00	Facility		$3,028.00	$4,686.00	$20,708.00