Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.02 / $5,116.62 / $22,024.00	Facility		$1,324.02	$5,116.62	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,474.74 / $18,220.34 / $35,644.43	Facility		$1,474.74	$18,220.34	$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 $992.31 / $2,056.10 / $2,870.33	Facility		$992.31	$2,056.10	$2,870.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,488.13 / $2,016.70 / $2,162.09	Facility		$1,488.13	$2,016.70	$2,162.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,420.16 / $1,420.16 / $1,474.74	Facility		$1,420.16	$1,420.16	$1,474.74
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