Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,750.56 / $5,132.00 / $22,024.00	Facility		$1,750.56	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,888.32 / $18,220.34 / $35,644.43	Facility		$1,888.32	$18,220.34	$35,644.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,321.25 / $2,714.47 / $3,770.62	Facility		$1,321.25	$2,714.47	$3,770.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,951.08 / $2,650.52 / $2,768.44	Facility		$1,951.08	$2,650.52	$2,768.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,850.96 / $1,850.96 / $1,888.32	Facility		$1,850.96	$1,850.96	$1,888.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,233.34 / $18,633.84 / $35,644.43	Facility		$14,233.34	$18,633.84	$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