Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,377.31 / $5,116.62 / $20,680.40	Facility		$1,377.31	$5,116.62	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,264.85 / $8,052.47 / $17,808.41	Facility		$3,264.85	$8,052.47	$17,808.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,846.84	Facility		$714.97	$870.49	$2,846.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $721.70 / $1,530.80 / $2,513.80	Facility		$721.70	$1,530.80	$2,513.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,040.27 / $1,436.48 / $1,514.87	Facility		$1,040.27	$1,436.48	$1,514.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.78 / $992.98 / $2,218.36	Facility		$738.78	$992.98	$2,218.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,436.00 / $9,921.79 / $16,373.27	Facility		$1,436.00	$9,921.79	$16,373.27