Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,514.52 / $15,978.56 / $32,804.24	Facility		$1,514.52	$15,978.56	$32,804.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $19,913.50 / $38,781.51	Facility		$5,897.00	$19,913.50	$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 $1,169.71 / $2,354.67 / $7,292.72	Facility		$1,169.71	$2,354.67	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,574.37 / $2,137.30 / $2,251.87	Facility		$1,574.37	$2,137.30	$2,251.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,487.65 / $1,535.98 / $6,526.97	Facility		$1,487.65	$1,535.98	$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