Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,299.67 / $5,132.00 / $22,024.00	Facility		$1,299.67	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,005.11 / $19,913.50 / $27,396.88	Facility		$10,005.11	$19,913.50	$27,396.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $8,315.84	Facility		$1,005.16	$1,223.70	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $742.45 / $1,515.27 / $7,292.72	Facility		$742.45	$1,515.27	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $970.45 / $1,342.01 / $1,424.42	Facility		$970.45	$1,342.01	$1,424.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $943.15 / $971.58 / $6,526.97	Facility		$943.15	$971.58	$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 $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00