Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,384.01 / $9,719.64 / $27,598.31	Facility		$1,384.01	$9,719.64	$27,598.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,317.93 / $16,547.20 / $31,745.76	Facility		$5,317.93	$16,547.20	$31,745.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.89 / $1,698.13 / $6,910.09	Facility		$1,394.89	$1,698.13	$6,910.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $780.06 / $1,622.43 / $6,059.92	Facility		$780.06	$1,622.43	$6,059.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,039.74 / $1,432.46 / $1,506.83	Facility		$1,039.74	$1,432.46	$1,506.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,006.57 / $1,027.79 / $5,317.93	Facility		$1,006.57	$1,027.79	$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