Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,825.37 / $5,128.00 / $23,000.00	Facility		$1,825.37	$5,128.00	$23,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $20,262.22 / $38,781.51	Facility		$5,897.00	$20,262.22	$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 $1,552.40 / $3,127.33 / $6,397.05	Facility		$1,552.40	$3,127.33	$6,397.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,129.54 / $2,842.13 / $3,023.71	Facility		$2,129.54	$2,842.13	$3,023.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,991.84 / $2,062.44 / $6,526.97	Facility		$1,991.84	$2,062.44	$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 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00