Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $7,920.26 / $24,827.00	Facility		$1,733.00	$7,920.26	$24,827.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $21,054.96 / $27,396.88	Facility		$11,500.00	$21,054.96	$27,396.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.89 / $1,698.13 / $10,639.05	Facility		$1,394.89	$1,698.13	$10,639.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,057.43 / $2,186.46 / $9,330.10	Facility		$1,057.43	$2,186.46	$9,330.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,409.24 / $1,904.68 / $1,996.60	Facility		$1,409.24	$1,904.68	$1,996.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,335.90 / $1,361.86 / $8,785.76	Facility		$1,335.90	$1,361.86	$8,785.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,793.48 / $20,262.22 / $38,781.51	Facility		$14,793.48	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00