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 / $29,300.00	Facility		$1,733.00	$7,920.26	$29,300.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $36,469.56 / $71,345.31	Facility		$11,500.00	$36,469.56	$71,345.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.89 / $1,698.13 / $20,582.30	Facility		$1,394.89	$1,698.13	$20,582.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,011.42 / $2,086.19 / $18,050.00	Facility		$1,011.42	$2,086.19	$18,050.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,345.54 / $1,835.80 / $1,932.95	Facility		$1,345.54	$1,835.80	$1,932.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,279.27 / $1,318.45 / $18,387.66	Facility		$1,279.27	$1,318.45	$18,387.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,749.60 / $37,275.87 / $71,345.31	Facility		$24,749.60	$37,275.87	$71,345.31
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