Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,612.23 / $7,394.00 / $18,800.00	Facility		$1,612.23	$7,394.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $20,273.81 / $38,781.51	Facility		$6,526.97	$20,273.81	$38,781.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $10,767.48	Facility		$714.97	$870.49	$10,767.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $901.75 / $1,838.64 / $9,442.71	Facility		$901.75	$1,838.64	$9,442.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,219.00 / $1,685.72 / $1,773.49	Facility		$1,219.00	$1,685.72	$1,773.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,169.65 / $1,209.68 / $6,526.97	Facility		$1,169.65	$1,209.68	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,669.79 / $20,262.22 / $38,781.51	Facility		$14,669.79	$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