Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,560.00 / $6,470.00 / $27,982.24	Facility		$1,560.00	$6,470.00	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,533.96 / $16,595.73 / $31,745.76	Facility		$7,533.96	$16,595.73	$31,745.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.89 / $1,698.13 / $9,787.91	Facility		$1,394.89	$1,698.13	$9,787.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,119.25 / $2,272.90 / $8,583.68	Facility		$1,119.25	$2,272.90	$8,583.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,487.42 / $1,969.79 / $2,058.91	Facility		$1,487.42	$1,969.79	$2,058.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,349.03 / $1,381.05 / $7,315.22	Facility		$1,349.03	$1,381.05	$7,315.22
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