Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,190.89 / $5,128.00 / $21,917.86	Facility		$1,190.89	$5,128.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$38,781.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $8,315.84	Facility		$883.20	$1,075.31	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $681.00 / $1,379.26 / $7,292.72	Facility		$681.00	$1,379.26	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $897.19 / $1,224.08 / $1,311.19	Facility		$897.19	$1,224.08	$1,311.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $864.32 / $894.35 / $6,526.97	Facility		$864.32	$894.35	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,129.00 / $24,764.99 / $40,868.01	Facility		$3,129.00	$24,764.99	$40,868.01