Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,268.08 / $5,128.00 / $20,680.40	Facility		$1,268.08	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,701.16 / $4,589.03 / $11,500.00	Facility		$2,701.16	$4,589.03	$11,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $1,985.59	Facility		$714.97	$870.49	$1,985.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $724.65 / $1,368.74 / $2,034.92	Facility		$724.65	$1,368.74	$2,034.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $952.56 / $1,307.83 / $1,380.87	Facility		$952.56	$1,307.83	$1,380.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $921.86 / $1,613.81	Facility		$537.44	$921.86	$1,613.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,552.03 / $8,712.50	Facility		$3,434.81	$4,552.03	$8,712.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00