Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,597.33 / $6,470.00 / $22,024.00	Facility		$1,597.33	$6,470.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,317.93 / $16,394.00 / $31,745.76	Facility		$5,317.93	$16,394.00	$31,745.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $6,910.09	Facility		$625.25	$761.81	$6,910.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $945.69 / $1,904.06 / $6,059.92	Facility		$945.69	$1,904.06	$6,059.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,243.61 / $1,689.74 / $1,738.76	Facility		$1,243.61	$1,689.74	$1,738.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,158.32 / $1,185.92 / $5,317.93	Facility		$1,158.32	$1,185.92	$5,317.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,586.25 / $31,745.76	Facility		$10,761.59	$16,586.25	$31,745.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00