Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,025.74 / $12,214.00 / $35,208.58	Facility		$1,025.74	$12,214.00	$35,208.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $27,770.10 / $55,801.25	Facility		$5,897.00	$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 $1,102.00 / $1,883.62 / $12,028.17	Facility		$1,102.00	$1,883.62	$12,028.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,264.26 / $1,540.33 / $1,806.99	Facility		$1,264.26	$1,540.33	$1,806.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,085.39 / $1,113.25 / $4,000.25	Facility		$1,085.39	$1,113.25	$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