Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $4,011.00 / $18,711.00	Facility		$1,733.00	$4,011.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,704.61 / $4,141.27 / $9,158.60	Facility		$1,704.61	$4,141.27	$9,158.60
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 $1,185.99 / $2,431.27 / $3,414.63	Facility		$1,185.99	$2,431.27	$3,414.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,753.22 / $2,401.94 / $2,499.10	Facility		$1,753.22	$2,401.94	$2,499.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,664.32 / $1,664.32 / $1,704.61	Facility		$1,664.32	$1,664.32	$1,704.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,163.28 / $4,141.27 / $7,921.78	Facility		$3,163.28	$4,141.27	$7,921.78
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00