Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,325.72 / $5,132.00 / $20,680.40	Facility		$1,325.72	$5,132.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,317.53 / $18,220.34 / $35,644.43	Facility		$1,317.53	$18,220.34	$35,644.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $900.86 / $1,782.56 / $2,605.81	Facility		$900.86	$1,782.56	$2,605.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,314.93 / $1,818.38 / $1,931.61	Facility		$1,314.93	$1,818.38	$1,931.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,280.18 / $1,280.18 / $1,317.53	Facility		$1,280.18	$1,280.18	$1,317.53
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