Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.00 / $5,132.00 / $22,024.00	Facility		$1,125.00	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,347.34 / $36,469.56 / $71,345.31	Facility		$8,347.34	$36,469.56	$71,345.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $20,826.32	Facility		$1,005.16	$1,223.70	$20,826.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $920.76 / $1,898.26 / $16,522.88	Facility		$920.76	$1,898.26	$16,522.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $1,675.67 / $1,763.44	Facility		$1,225.00	$1,675.67	$1,763.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,172.82 / $1,202.82 / $19,225.22	Facility		$1,172.82	$1,202.82	$19,225.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,749.60 / $37,275.87 / $71,345.31	Facility		$24,749.60	$37,275.87	$71,345.31
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