Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.08 / $5,128.00 / $20,680.40	Facility		$1,121.08	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,613.81 / $4,589.03 / $11,500.00	Facility		$1,613.81	$4,589.03	$11,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $1,985.59	Facility		$714.97	$870.49	$1,985.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $608.55 / $1,218.04 / $1,955.94	Facility		$608.55	$1,218.04	$1,955.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $813.98 / $1,220.71 / $1,501.47	Facility		$813.98	$1,220.71	$1,501.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $1,020.61 / $1,613.81	Facility		$537.44	$1,020.61	$1,613.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,589.03 / $8,712.50	Facility		$3,434.81	$4,589.03	$8,712.50
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