Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,124.85 / $6,470.00 / $20,957.95	Facility		$1,124.85	$6,470.00	$20,957.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$38,781.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $663.87 / $1,330.09 / $7,292.72	Facility		$663.87	$1,330.09	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.75 / $1,155.75 / $1,239.50	Facility		$851.75	$1,155.75	$1,239.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $817.67 / $845.45 / $6,526.97	Facility		$817.67	$845.45	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
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