Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,671.08 / $22,314.00 / $50,930.86	Facility		$1,671.08	$22,314.00	$50,930.86
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $54,827.35 / $54,827.35 / $54,827.35	Facility	22	$54,827.35	$54,827.35	$54,827.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $27,770.10 / $40,000.00	Facility		$5,897.00	$27,770.10	$40,000.00
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 $1,261.16 / $2,101.85 / $12,102.55	Facility		$1,261.16	$2,101.85	$12,102.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,461.48 / $1,737.31 / $2,023.40	Facility		$1,461.48	$1,737.31	$2,023.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,222.65 / $1,253.55 / $4,000.25	Facility		$1,222.65	$1,253.55	$4,000.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,916.23 / $29,070.27 / $55,474.65	Facility		$18,916.23	$29,070.27	$55,474.65
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