Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,033.75 / $7,394.00 / $18,800.00	Facility		$1,033.75	$7,394.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,241.82 / $7,873.79 / $15,720.23	Facility		$1,241.82	$7,873.79	$15,720.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $2,846.84	Facility		$644.92	$1,110.00	$2,846.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $741.15 / $1,170.34 / $2,018.24	Facility		$741.15	$1,170.34	$2,018.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $944.29 / $1,392.38 / $1,800.51	Facility		$944.29	$1,392.38	$1,800.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $988.38 / $1,063.44 / $1,241.82	Facility		$988.38	$1,063.44	$1,241.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,232.00 / $2,442.67 / $10,522.00	Facility		$1,232.00	$2,442.67	$10,522.00