Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $21,917.86	Facility		$1,733.00	$5,128.00	$21,917.86
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 $1,305.00 / $2,654.59 / $6,397.05	Facility		$1,305.00	$2,654.59	$6,397.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,790.95 / $2,433.79 / $2,585.53	Facility		$1,790.95	$2,433.79	$2,585.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,701.02 / $1,763.56 / $6,526.97	Facility		$1,701.02	$1,763.56	$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