Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,617.74 / $11,101.00 / $50,201.25	Facility		$1,617.74	$11,101.00	$50,201.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $26,542.00 / $87,948.21 / $168,331.20	Facility		$26,542.00	$87,948.21	$168,331.20
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $8,497.44 / $14,133.93 / $14,133.93	Facility	AS	$8,497.44	$14,133.93	$14,133.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37,377.18 / $37,377.18 / $50,000.00	Facility		$37,377.18	$37,377.18	$50,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,042.58 / $1,799.68 / $68,805.31	Facility		$1,042.58	$1,799.68	$68,805.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,189.72 / $1,650.21 / $1,811.01	Facility		$1,189.72	$1,650.21	$1,811.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,181.88 / $1,235.27 / $25,251.18	Facility		$1,181.88	$1,235.27	$25,251.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $59,962.85 / $87,998.50 / $168,331.20	Facility		$59,962.85	$87,998.50	$168,331.20
United Facility/Professional Facility Modifier Low / Median / High Price $5,975.00 / $34,178.00 / $71,362.00	Facility		$5,975.00	$34,178.00	$71,362.00