Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,015.12 / $5,128.00 / $21,917.86	Facility		$1,015.12	$5,128.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,603.35 / $20,273.81 / $38,781.51	Facility		$8,603.35	$20,273.81	$38,781.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $11,025.78	Facility		$883.20	$1,075.31	$11,025.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $831.44 / $1,720.39 / $9,669.24	Facility		$831.44	$1,720.39	$9,669.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,102.99 / $1,509.51 / $1,613.36	Facility		$1,102.99	$1,509.51	$1,613.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,062.29 / $1,100.46 / $8,603.35	Facility		$1,062.29	$1,100.46	$8,603.35
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 $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00