Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,004.40 / $11,093.00 / $22,024.00	Facility		$2,004.40	$11,093.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,097.17 / $18,633.84 / $35,644.43	Facility		$2,097.17	$18,633.84	$35,644.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,694.40 / $3,130.94 / $4,388.43	Facility		$1,694.40	$3,130.94	$4,388.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,019.16 / $2,967.11 / $3,118.85	Facility		$2,019.16	$2,967.11	$3,118.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,086.52 / $2,086.52 / $2,097.17	Facility		$2,086.52	$2,086.52	$2,097.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,233.34 / $18,633.84 / $35,644.43	Facility		$14,233.34	$18,633.84	$35,644.43
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00