Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.80 / $6,470.00 / $21,917.86	Facility		$1,075.80	$6,470.00	$21,917.86
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 $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 $578.98 / $1,190.45 / $3,280.24	Facility		$578.98	$1,190.45	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $793.61 / $1,097.46 / $1,177.19	Facility		$793.61	$1,097.46	$1,177.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $774.18 / $802.95 / $2,961.46	Facility		$774.18	$802.95	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00