Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,773.82 / $14,464.32 / $28,449.43	Facility		$1,773.82	$14,464.32	$28,449.43
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 $1,201.20 / $2,184.44 / $11,234.92	Facility		$1,201.20	$2,184.44	$11,234.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,368.08 / $1,864.61 / $1,956.40	Facility		$1,368.08	$1,864.61	$1,956.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,306.45 / $1,334.44 / $2,513.62	Facility		$1,306.45	$1,334.44	$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