Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,278.58 / $4,011.00 / $22,024.00	Facility		$1,278.58	$4,011.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,433.20 / $17,574.13 / $36,111.08	Facility		$5,433.20	$17,574.13	$36,111.08
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $998.64 / $1,661.06 / $1,661.06	Facility	AS	$998.64	$1,661.06	$1,661.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $7,318.13	Facility		$625.25	$761.81	$7,318.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,095.33 / $2,204.48 / $6,417.76	Facility		$1,095.33	$2,204.48	$6,417.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,449.62 / $1,933.90 / $2,033.20	Facility		$1,449.62	$1,933.90	$2,033.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,349.03 / $1,376.03 / $5,433.20	Facility		$1,349.03	$1,376.03	$5,433.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,241.40 / $18,867.00 / $36,111.08	Facility		$12,241.40	$18,867.00	$36,111.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,225.00 / $4,785.00 / $16,315.00	Facility		$2,225.00	$4,785.00	$16,315.00