Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $21,917.86	Facility		$1,733.00	$5,128.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,297.88 / $8,231.65 / $16,103.56	Facility		$1,297.88	$8,231.65	$16,103.56
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 $903.00 / $1,860.44 / $2,583.39	Facility		$903.00	$1,860.44	$2,583.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,326.43 / $1,817.04 / $1,902.80	Facility		$1,326.43	$1,817.04	$1,902.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,266.14 / $1,266.14 / $1,297.88	Facility		$1,266.14	$1,266.14	$1,297.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,430.39 / $8,418.45 / $16,103.56	Facility		$6,430.39	$8,418.45	$16,103.56
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