Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $21,917.86	Facility		$1,733.00	$5,128.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,679.38 / $16,547.20 / $31,745.76	Facility		$7,679.38	$16,547.20	$31,745.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $6,910.09	Facility		$883.20	$1,075.31	$6,910.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,176.97 / $2,383.91 / $6,059.92	Facility		$1,176.97	$2,383.91	$6,059.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,571.23 / $2,070.66 / $2,172.81	Facility		$1,571.23	$2,070.66	$2,172.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,395.69 / $1,429.95 / $5,317.93	Facility		$1,395.69	$1,429.95	$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