Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,492.51 / $2,478.79 / $18,711.00	Facility		$1,492.51	$2,478.79	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,317.93 / $16,227.47 / $31,745.76	Facility		$5,317.93	$16,227.47	$31,745.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $6,910.09	Facility		$714.97	$870.49	$6,910.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $872.03 / $1,661.30 / $5,185.60	Facility		$872.03	$1,661.30	$5,185.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,154.14 / $1,778.74 / $2,198.94	Facility		$1,154.14	$1,778.74	$2,198.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,497.17 / $1,499.87 / $5,317.93	Facility		$1,497.17	$1,499.87	$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