Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,566.07 / $3,421.43 / $18,711.00	Facility		$1,566.07	$3,421.43	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,671.25 / $5,167.93 / $11,429.12	Facility		$1,671.25	$5,167.93	$11,429.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $2,323.83	Facility		$644.92	$1,110.00	$2,323.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,469.09 / $2,028.60 / $3,092.14	Facility		$1,469.09	$2,028.60	$3,092.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,820.27 / $2,365.10 / $2,525.23	Facility		$1,820.27	$2,365.10	$2,525.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.83 / $1,628.54 / $1,671.25	Facility		$759.83	$1,628.54	$1,671.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,770.96 / $5,167.93 / $9,885.68	Facility		$3,770.96	$5,167.93	$9,885.68
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,120.00 / $6,857.00	Facility		$629.00	$1,120.00	$6,857.00