Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $20,680.40	Facility		$1,733.00	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,744.37 / $7,049.12 / $15,589.45	Facility		$1,744.37	$7,049.12	$15,589.45
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 $1,279.39 / $2,415.44 / $3,519.54	Facility		$1,279.39	$2,415.44	$3,519.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,807.61 / $2,462.25 / $2,557.39	Facility		$1,807.61	$2,462.25	$2,557.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,700.11 / $1,700.11 / $1,744.37	Facility		$1,700.11	$1,700.11	$1,744.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,384.43 / $7,049.12 / $13,484.17	Facility		$5,384.43	$7,049.12	$13,484.17
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