Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,210.42 / $10,122.46 / $27,982.24	Facility		$2,210.42	$10,122.46	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,173.66 / $19,003.25 / $38,781.51	Facility		$2,173.66	$19,003.25	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $191.07 / $635.50 / $635.50	Facility	AS	$191.07	$635.50	$635.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $2,000.00 / $2,285.42	Facility		$714.97	$2,000.00	$2,285.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,299.21 / $2,709.77 / $6,397.05	Facility		$1,299.21	$2,709.77	$6,397.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,960.98 / $2,637.78 / $2,796.58	Facility		$1,960.98	$2,637.78	$2,796.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,849.15 / $1,907.52 / $6,526.97	Facility		$1,849.15	$1,907.52	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,486.02 / $20,273.81 / $38,781.51	Facility		$15,486.02	$20,273.81	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00