Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.31 / $5,128.00 / $21,917.86	Facility		$1,047.31	$5,128.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $8,622.02 / $17,546.59	Facility		$986.25	$8,622.02	$17,546.59
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 $604.65 / $1,223.23 / $3,280.24	Facility		$604.65	$1,223.23	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $795.76 / $1,086.07 / $1,147.71	Facility		$795.76	$1,086.07	$1,147.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $756.06 / $782.84 / $2,961.46	Facility		$756.06	$782.84	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,646.13 / $9,167.59 / $17,546.59	Facility		$5,646.13	$9,167.59	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00