Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,339.58 / $5,128.00 / $20,680.40	Facility		$1,339.58	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,423.56 / $5,367.06 / $11,429.12	Facility		$1,423.56	$5,367.06	$11,429.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $796.68 / $1,285.00 / $2,323.83	Facility		$796.68	$1,285.00	$2,323.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,192.95 / $1,749.26 / $2,830.88	Facility		$1,192.95	$1,749.26	$2,830.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,435.57 / $1,917.84 / $2,089.64	Facility		$1,435.57	$1,917.84	$2,089.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.83 / $1,407.02 / $1,423.56	Facility		$759.83	$1,407.02	$1,423.56
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