Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.36 / $5,128.00 / $22,124.20	Facility		$1,992.36	$5,128.00	$22,124.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,185.25 / $16,227.47 / $31,745.76	Facility		$7,185.25	$16,227.47	$31,745.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $9,164.29	Facility		$883.20	$1,075.31	$9,164.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,211.84 / $2,739.21 / $6,795.91	Facility		$1,211.84	$2,739.21	$6,795.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,815.70 / $3,483.02 / $4,109.10	Facility		$1,815.70	$3,483.02	$4,109.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,392.88 / $2,513.96 / $7,185.25	Facility		$2,392.88	$2,513.96	$7,185.25
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