Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,495.54 / $5,128.00 / $18,800.00	Facility		$1,495.54	$5,128.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,630.58 / $5,367.06 / $11,429.12	Facility		$1,630.58	$5,367.06	$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 $1,192.95 / $1,941.88 / $3,157.28	Facility		$1,192.95	$1,941.88	$3,157.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,598.85 / $2,211.00 / $2,390.56	Facility		$1,598.85	$2,211.00	$2,390.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.83 / $1,575.99 / $1,630.58	Facility		$759.83	$1,575.99	$1,630.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,351.17 / $5,167.93 / $9,885.68	Facility		$3,351.17	$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