Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.70 / $4,425.00 / $20,680.40	Facility		$1,324.70	$4,425.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,116.10 / $9,172.83 / $20,286.13	Facility		$4,116.10	$9,172.83	$20,286.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $3,740.43	Facility		$883.20	$1,075.31	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $756.89 / $1,538.63 / $3,280.24	Facility		$756.89	$1,538.63	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $993.23 / $1,368.81 / $1,456.58	Facility		$993.23	$1,368.81	$1,456.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $960.81 / $986.25 / $2,961.46	Facility		$960.81	$986.25	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,167.59 / $17,546.59	Facility		$6,693.27	$9,167.59	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00