Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,116.62 / $21,917.86	Facility		$1,733.00	$5,116.62	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,645.20 / $14,791.76 / $28,937.08	Facility		$1,645.20	$14,791.76	$28,937.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,182.48 / $2,424.08 / $3,352.76	Facility		$1,182.48	$2,424.08	$3,352.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,712.22 / $2,324.23 / $2,412.00	Facility		$1,712.22	$2,324.23	$2,412.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,604.98 / $1,604.98 / $1,645.20	Facility		$1,604.98	$1,604.98	$1,645.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,555.00 / $15,127.44 / $28,937.08	Facility		$11,555.00	$15,127.44	$28,937.08
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