Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,294.19 / $5,128.00 / $20,680.40	Facility		$1,294.19	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,961.22 / $10,166.93 / $19,848.13	Facility		$1,961.22	$10,166.93	$19,848.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $796.68 / $1,285.00 / $4,636.17	Facility		$796.68	$1,285.00	$4,636.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,285.20 / $2,180.28 / $4,240.71	Facility		$1,285.20	$2,180.28	$4,240.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,428.87 / $1,932.28 / $2,035.46	Facility		$1,428.87	$1,932.28	$2,035.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,313.10 / $1,388.37 / $1,961.22	Facility		$1,313.10	$1,388.37	$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