Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,066.90 / $5,128.00 / $20,680.40	Facility		$2,066.90	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,209.14 / $5,367.06 / $13,113.10	Facility		$2,209.14	$5,367.06	$13,113.10
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 $1,501.95 / $2,544.06 / $4,478.10	Facility		$1,501.95	$2,544.06	$4,478.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,209.00 / $3,110.87 / $3,238.78	Facility		$2,209.00	$3,110.87	$3,238.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.83 / $2,175.76 / $2,209.14	Facility		$759.83	$2,175.76	$2,209.14
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 $1,232.00 / $1,981.00 / $10,522.00	Facility		$1,232.00	$1,981.00	$10,522.00