Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $7,489.85 / $18,800.00	Facility		$1,733.00	$7,489.85	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,048.55 / $7,699.45 / $15,403.47	Facility		$1,048.55	$7,699.45	$15,403.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,708.80 / $1,708.80 / $2,846.84	Facility		$1,708.80	$1,708.80	$2,846.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,619.93 / $2,683.35 / $6,008.05	Facility		$1,619.93	$2,683.35	$6,008.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,863.87 / $2,569.21 / $2,681.24	Facility		$1,863.87	$2,569.21	$2,681.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,048.55 / $1,787.09 / $1,826.17	Facility		$1,048.55	$1,787.09	$1,826.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00