Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $20,680.40	Facility		$1,733.00	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,704.64 / $7,547.82 / $15,403.47	Facility		$1,704.64	$7,547.82	$15,403.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,846.84	Facility		$714.97	$870.49	$2,846.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,318.59 / $2,398.33 / $3,210.30	Facility		$1,318.59	$2,398.33	$3,210.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,800.95 / $2,420.23 / $2,556.12	Facility		$1,800.95	$2,420.23	$2,556.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.78 / $1,704.64 / $2,218.36	Facility		$738.78	$1,704.64	$2,218.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00