Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $6,470.00 / $20,680.40	Facility		$1,733.00	$6,470.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,779.84 / $8,047.87 / $15,403.47	Facility		$1,779.84	$8,047.87	$15,403.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,846.84	Facility		$714.97	$870.49	$2,846.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,325.22 / $2,421.55 / $3,352.06	Facility		$1,325.22	$2,421.55	$3,352.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,857.09 / $2,567.44 / $2,672.63	Facility		$1,857.09	$2,567.44	$2,672.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.78 / $1,779.84 / $2,218.36	Facility		$738.78	$1,779.84	$2,218.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00