Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,246.91 / $6,470.00 / $20,680.40	Facility		$1,246.91	$6,470.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $909.17 / $7,547.82 / $15,403.47	Facility		$909.17	$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 $724.83 / $1,445.22 / $2,496.58	Facility		$724.83	$1,445.22	$2,496.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $969.71 / $1,313.01 / $1,364.76	Facility		$969.71	$1,313.01	$1,364.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.78 / $909.17 / $2,218.36	Facility		$738.78	$909.17	$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