Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,254.50 / $6,470.00 / $21,917.86	Facility		$1,254.50	$6,470.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,187.30 / $9,172.83 / $20,286.13	Facility		$3,187.30	$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 $716.88 / $1,451.02 / $3,280.24	Facility		$716.88	$1,451.02	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $950.59 / $1,287.07 / $1,374.17	Facility		$950.59	$1,287.07	$1,374.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $906.45 / $937.31 / $2,961.46	Facility		$906.45	$937.31	$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