Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,039.63 / $8,991.00 / $21,917.86	Facility		$1,039.63	$8,991.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,490.98 / $9,167.59 / $17,907.41	Facility		$5,490.98	$9,167.59	$17,907.41
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 $602.91 / $1,239.02 / $3,280.24	Facility		$602.91	$1,239.02	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $827.53 / $1,144.35 / $1,220.74	Facility		$827.53	$1,144.35	$1,220.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $802.72 / $832.65 / $2,961.46	Facility		$802.72	$832.65	$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