Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,308.40 / $5,132.00 / $22,024.00	Facility		$1,308.40	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $20,286.13	Facility		$2,961.46	$9,172.83	$20,286.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $3,740.43	Facility		$1,005.16	$1,223.70	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $719.05 / $1,473.55 / $3,280.24	Facility		$719.05	$1,473.55	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $936.29 / $1,282.38 / $1,465.96	Facility		$936.29	$1,282.38	$1,465.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $988.45 / $2,961.46	Facility		$986.25	$988.45	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,013.44 / $9,167.59 / $17,546.59	Facility		$6,013.44	$9,167.59	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,129.00 / $11,604.61 / $18,561.84	Facility		$3,129.00	$11,604.61	$18,561.84