Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,371.68 / $5,128.00 / $21,917.86	Facility		$1,371.68	$5,128.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,013.44 / $19,913.50 / $38,781.51	Facility		$6,013.44	$19,913.50	$38,781.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $8,315.84	Facility		$883.20	$1,075.31	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $768.64 / $1,575.77 / $7,292.72	Facility		$768.64	$1,575.77	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,001.56 / $1,372.83 / $1,580.53	Facility		$1,001.56	$1,372.83	$1,580.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,060.47 / $1,078.06 / $6,526.97	Facility		$1,060.47	$1,078.06	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00