Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,325.90 / $12,418.00 / $22,342.28	Facility		$1,325.90	$12,418.00	$22,342.28
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $2,902.11 / $2,902.11 / $2,902.11	Facility	AS	$2,902.11	$2,902.11	$2,902.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,250.73 / $13,249.10 / $26,963.11	Facility		$1,250.73	$13,249.10	$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 $1,156.26 / $2,055.12 / $8,968.34	Facility		$1,156.26	$2,055.12	$8,968.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,279.88 / $1,754.06 / $1,873.32	Facility		$1,279.88	$1,754.06	$1,873.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,250.73 / $1,277.77 / $1,964.09	Facility		$1,250.73	$1,277.77	$1,964.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,140.29 / $14,087.45 / $26,963.11	Facility		$9,140.29	$14,087.45	$26,963.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00