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 / $24,827.00	Facility		$1,733.00	$6,470.00	$24,827.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $52,812.50 / $101,024.36	Facility		$11,500.00	$52,812.50	$101,024.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $1,698.13 / $34,646.28	Facility		$765.00	$1,698.13	$34,646.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,277.16 / $2,572.44 / $30,383.64	Facility		$1,277.16	$2,572.44	$30,383.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,642.80 / $2,259.91 / $2,371.13	Facility		$1,642.80	$2,259.91	$2,371.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,571.00 / $1,617.32 / $29,189.89	Facility		$1,571.00	$1,617.32	$29,189.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38,536.44 / $52,812.50 / $101,024.36	Facility		$38,536.44	$52,812.50	$101,024.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $7,614.00 / $24,236.00	Facility		$3,700.00	$7,614.00	$24,236.00