Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $4,011.00 / $18,711.00	Facility		$1,733.00	$4,011.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,961.22 / $10,166.93 / $19,448.18	Facility		$1,961.22	$10,166.93	$19,448.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $906.00 / $4,636.17	Facility		$564.00	$906.00	$4,636.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,187.98 / $1,979.97 / $4,240.71	Facility		$1,187.98	$1,979.97	$4,240.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,325.45 / $1,826.42 / $2,824.53	Facility		$1,325.45	$1,826.42	$2,824.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,313.10 / $1,397.96 / $1,961.22	Facility		$1,313.10	$1,397.96	$1,961.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,832.97 / $10,161.12 / $19,448.18	Facility		$6,832.97	$10,161.12	$19,448.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $2,428.00 / $11,941.00	Facility		$1,403.00	$2,428.00	$11,941.00