Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.64 / $3,810.00 / $18,711.00	Facility		$1,207.64	$3,810.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,478.12 / $9,172.83 / $17,546.59	Facility		$3,478.12	$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 $705.25 / $1,461.72 / $3,280.24	Facility		$705.25	$1,461.72	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $942.76 / $1,282.38 / $1,323.92	Facility		$942.76	$1,282.38	$1,323.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $876.56 / $903.03 / $2,961.46	Facility		$876.56	$903.03	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,167.59 / $17,546.59	Facility		$6,693.27	$9,167.59	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00