Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.61 / $8,242.00 / $87,488.23	Facility		$1,170.61	$8,242.00	$87,488.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.44 / $87,998.50 / $168,331.20	Facility		$1,148.44	$87,998.50	$168,331.20
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $8,349.64 / $13,888.08 / $13,888.08	Facility	AS	$8,349.64	$13,888.08	$13,888.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36,727.03 / $36,727.03 / $50,000.00	Facility		$36,727.03	$36,727.03	$50,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,140.57 / $2,061.04 / $109,731.70	Facility		$1,140.57	$2,061.04	$109,731.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,105.72 / $1,632.79 / $1,744.20	Facility		$1,105.72	$1,632.79	$1,744.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.44 / $1,161.95 / $25,547.14	Facility		$1,148.44	$1,161.95	$25,547.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $67,217.09 / $87,998.50 / $168,331.20	Facility		$67,217.09	$87,998.50	$168,331.20
United Facility/Professional Facility Modifier Low / Median / High Price $4,252.00 / $19,294.00 / $37,152.00	Facility		$4,252.00	$19,294.00	$37,152.00