Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,114.78 / $5,128.00 / $18,800.00	Facility		$1,114.78	$5,128.00	$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 $1,061.28 / $1,697.74 / $2,674.68	Facility		$1,061.28	$1,697.74	$2,674.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,192.66 / $1,625.42 / $1,762.77	Facility		$1,192.66	$1,625.42	$1,762.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $988.38 / $1,202.36 / $1,241.82	Facility		$988.38	$1,202.36	$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 / $1,981.00 / $10,522.00	Facility		$1,232.00	$1,981.00	$10,522.00