Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,395.98 / $4,500.00 / $20,680.40	Facility		$1,395.98	$4,500.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,479.44 / $19,823.93 / $38,781.51	Facility		$8,479.44	$19,823.93	$38,781.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $10,489.81	Facility		$625.25	$761.81	$10,489.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $806.25 / $1,675.24 / $9,199.21	Facility		$806.25	$1,675.24	$9,199.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,055.73 / $1,459.93 / $1,526.60	Facility		$1,055.73	$1,459.93	$1,526.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,021.52 / $1,037.39 / $8,479.44	Facility		$1,021.52	$1,037.39	$8,479.44
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 $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00