Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,132.00 / $22,024.00	Facility		$1,733.00	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $19,003.25 / $38,781.51	Facility		$5,897.00	$19,003.25	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $920.33 / $1,625.25 / $1,625.25	Facility	AS	$920.33	$1,625.25	$1,625.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,285.42 / $2,500.00	Facility		$2,000.00	$2,285.42	$2,500.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,258.89 / $2,533.76 / $6,397.05	Facility		$1,258.89	$2,533.76	$6,397.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,702.26 / $2,297.89 / $2,432.77	Facility		$1,702.26	$2,297.89	$2,432.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,609.51 / $1,659.37 / $6,526.97	Facility		$1,609.51	$1,659.37	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,851.00 / $19,271.00	Facility		$3,028.00	$5,851.00	$19,271.00