Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.43 / $5,377.00 / $25,166.47	Facility		$1,407.43	$5,377.00	$25,166.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $18,458.89 / $36,111.08	Facility		$55.00	$18,458.89	$36,111.08
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,432.12 / $2,382.07 / $2,382.07	Facility	AS	$1,432.12	$2,382.07	$2,382.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $10,494.71	Facility		$1,005.16	$1,223.70	$10,494.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $953.40 / $1,762.48 / $9,370.75	Facility		$953.40	$1,762.48	$9,370.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,162.28 / $1,497.18 / $1,584.55	Facility		$1,162.28	$1,497.18	$1,584.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,033.75 / $1,050.19 / $8,449.37	Facility		$1,033.75	$1,050.19	$8,449.37
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 $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00