Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,536.60 / $5,229.00 / $22,134.84	Facility		$1,536.60	$5,229.00	$22,134.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,058.56 / $17,694.72 / $36,111.08	Facility		$11,058.56	$17,694.72	$36,111.08
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $6,241.51 / $10,381.59 / $10,381.59	Facility	62	$6,241.51	$10,381.59	$10,381.59
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $998.64 / $1,661.06 / $1,661.06	Facility	AS	$998.64	$1,661.06	$1,661.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,392.67 / $4,392.67 / $7,318.13	Facility		$4,392.67	$4,392.67	$7,318.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,040.76 / $1,789.32 / $10,537.73	Facility		$1,040.76	$1,789.32	$10,537.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,191.86 / $1,614.67 / $1,723.24	Facility		$1,191.86	$1,614.67	$1,723.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,137.48 / $1,175.40 / $2,568.11	Facility		$1,137.48	$1,175.40	$2,568.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,241.40 / $18,867.00 / $36,111.08	Facility		$12,241.40	$18,867.00	$36,111.08
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