Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,021.51 / $3,463.48 / $18,711.00	Facility		$1,021.51	$3,463.48	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $17,546.59	Facility		$2,961.46	$9,172.83	$17,546.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $3,740.43	Facility		$466.83	$568.48	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $542.01 / $1,121.41 / $3,280.24	Facility		$542.01	$1,121.41	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $725.30 / $1,143.69 / $1,407.00	Facility		$725.30	$1,143.69	$1,407.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $958.10 / $959.70 / $2,961.46	Facility		$958.10	$959.70	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
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