Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.96 / $5,128.00 / $18,800.00	Facility		$1,258.96	$5,128.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,029.23 / $4,554.63 / $11,500.00	Facility		$2,029.23	$4,554.63	$11,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $1,985.59	Facility		$714.97	$870.49	$1,985.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $688.17 / $1,337.80 / $2,034.92	Facility		$688.17	$1,337.80	$2,034.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $901.94 / $1,261.75 / $1,396.95	Facility		$901.94	$1,261.75	$1,396.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $944.05 / $1,613.81	Facility		$537.44	$944.05	$1,613.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,323.45 / $4,552.03 / $8,712.50	Facility		$3,323.45	$4,552.03	$8,712.50
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