Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,955.45 / $5,128.00 / $20,680.40	Facility		$1,955.45	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $18,873.74 / $38,781.51	Facility		$2,000.00	$18,873.74	$38,781.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,458.88 / $3,160.75 / $6,397.05	Facility		$1,458.88	$3,160.75	$6,397.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,806.19 / $3,002.27 / $3,110.81	Facility		$1,806.19	$3,002.27	$3,110.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,071.57 / $2,121.85 / $6,526.97	Facility		$2,071.57	$2,121.85	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00