Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,336.50 / $6,470.00 / $24,827.00	Facility		$1,336.50	$6,470.00	$24,827.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,215.22 / $9,118.81 / $20,178.18	Facility		$5,215.22	$9,118.81	$20,178.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.89 / $1,698.13 / $3,302.92	Facility		$1,394.89	$1,698.13	$3,302.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $785.61 / $1,569.63 / $2,896.56	Facility		$785.61	$1,569.63	$2,896.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,004.85 / $1,365.68 / $1,449.88	Facility		$1,004.85	$1,365.68	$1,449.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $803.50 / $964.44 / $2,412.73	Facility		$803.50	$964.44	$2,412.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,101.25 / $17,453.22	Facility		$5,916.52	$9,101.25	$17,453.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,471.00 / $2,542.00 / $10,522.00	Facility		$1,471.00	$2,542.00	$10,522.00