Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,107.68 / $4,011.00 / $18,711.00	Facility		$1,107.68	$4,011.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $17,546.59	Facility		$2,961.46	$9,172.83	$17,546.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,740.43	Facility		$625.25	$761.81	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $647.41 / $1,330.85 / $3,280.24	Facility		$647.41	$1,330.85	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $856.03 / $1,169.82 / $1,216.72	Facility		$856.03	$1,169.82	$1,216.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $802.26 / $829.91 / $2,961.46	Facility		$802.26	$829.91	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,408.00 / $11,261.00 / $18,561.84	Facility		$2,408.00	$11,261.00	$18,561.84