Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,489.93 / $7,920.26 / $24,827.00	Facility		$1,489.93	$7,920.26	$24,827.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,771.02 / $15,599.20 / $31,745.76	Facility		$1,771.02	$15,599.20	$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 $824.32 / $1,682.53 / $6,059.92	Facility		$824.32	$1,682.53	$6,059.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,119.65 / $1,538.99 / $1,617.38	Facility		$1,119.65	$1,538.99	$1,617.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,073.60 / $1,103.20 / $5,317.93	Facility		$1,073.60	$1,103.20	$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