Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,530.76 / $10,122.46 / $31,764.56	Facility		$1,530.76	$10,122.46	$31,764.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12,650.00 / $27,770.10 / $55,801.25	Facility		$12,650.00	$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 $1,150.00 / $1,947.58 / $17,873.87	Facility		$1,150.00	$1,947.58	$17,873.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,326.39 / $1,609.40 / $1,876.67	Facility		$1,326.39	$1,609.40	$1,876.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,121.18 / $1,143.41 / $4,000.25	Facility		$1,121.18	$1,143.41	$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 / $11,540.00 / $20,708.00	Facility		$3,028.00	$11,540.00	$20,708.00