Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,715.23 / $9,305.92 / $28,266.14	Facility		$2,715.23	$9,305.92	$28,266.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,173.66 / $19,913.50 / $38,781.51	Facility		$2,173.66	$19,913.50	$38,781.51
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 $1,594.71 / $3,199.92 / $7,606.52	Facility		$1,594.71	$3,199.92	$7,606.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,118.76 / $2,851.93 / $3,027.06	Facility		$2,118.76	$2,851.93	$3,027.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,007.70 / $2,064.73 / $6,526.97	Facility		$2,007.70	$2,064.73	$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