Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,072.63 / $10,122.46 / $28,028.46	Facility		$2,072.63	$10,122.46	$28,028.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $19,056.41 / $38,781.51	Facility		$5,897.00	$19,056.41	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $7,092.44 / $11,796.97 / $11,796.97	Facility	62	$7,092.44	$11,796.97	$11,796.97
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,134.79 / $1,887.52 / $1,887.52	Facility	AS	$1,134.79	$1,887.52	$1,887.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,285.42 / $8,315.84	Facility		$2,000.00	$2,285.42	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,341.54 / $2,726.31 / $7,292.72	Facility		$1,341.54	$2,726.31	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,826.72 / $2,474.44 / $2,626.40	Facility		$1,826.72	$2,474.44	$2,626.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,734.08 / $1,791.44 / $6,526.97	Facility		$1,734.08	$1,791.44	$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