Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,065.93 / $5,128.00 / $20,547.15	Facility		$1,065.93	$5,128.00	$20,547.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$38,781.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $883.15 / $1,807.63 / $7,292.72	Facility		$883.15	$1,807.63	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,167.18 / $1,586.56 / $1,670.31	Facility		$1,167.18	$1,586.56	$1,670.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,120.72 / $1,139.30 / $6,526.97	Facility		$1,120.72	$1,139.30	$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 $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00