Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,492.10 / $8,617.81 / $25,541.68	Facility		$1,492.10	$8,617.81	$25,541.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $16,547.20 / $31,745.76	Facility		$5,897.00	$16,547.20	$31,745.76
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $942.96 / $1,568.44 / $1,568.44	Facility	AS	$942.96	$1,568.44	$1,568.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,147.74 / $4,147.74 / $6,910.09	Facility		$4,147.74	$4,147.74	$6,910.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,349.88 / $2,377.78 / $11,234.92	Facility		$1,349.88	$2,377.78	$11,234.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,525.69 / $2,104.91 / $2,202.52	Facility		$1,525.69	$2,104.91	$2,202.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,463.64 / $1,493.93 / $2,513.62	Facility		$1,463.64	$1,493.93	$2,513.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,586.25 / $31,745.76	Facility		$10,761.59	$16,586.25	$31,745.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00