Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,195.06 / $6,470.00 / $21,917.86	Facility		$1,195.06	$6,470.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $20,286.13	Facility		$2,961.46	$9,172.83	$20,286.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $3,740.43	Facility		$883.20	$1,075.31	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $678.60 / $1,392.61 / $3,280.24	Facility		$678.60	$1,392.61	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $895.84 / $1,219.40 / $1,299.48	Facility		$895.84	$1,219.40	$1,299.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.67 / $878.81 / $2,961.46	Facility		$870.67	$878.81	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00