Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,646.07 / $5,132.00 / $22,024.00	Facility		$1,646.07	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,223.39 / $17,514.91 / $35,644.43	Facility		$1,223.39	$17,514.91	$35,644.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $815.85 / $1,673.35 / $2,333.21	Facility		$815.85	$1,673.35	$2,333.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,192.66 / $1,640.83 / $1,793.59	Facility		$1,192.66	$1,640.83	$1,793.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,223.39	Facility		$1,202.26	$1,202.26	$1,223.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,154.00 / $18,623.18 / $35,644.43	Facility		$12,154.00	$18,623.18	$35,644.43
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00