Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $2,870.77 / $20,680.40	Facility		$1,733.00	$2,870.77	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,394.31 / $18,220.34 / $35,644.43	Facility		$1,394.31	$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 $971.25 / $2,007.40 / $2,763.62	Facility		$971.25	$2,007.40	$2,763.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.80 / $1,953.72 / $2,044.17	Facility		$1,412.80	$1,953.72	$2,044.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,361.72 / $1,361.72 / $1,394.31	Facility		$1,361.72	$1,361.72	$1,394.31
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