Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $4,011.00 / $18,711.00	Facility		$1,733.00	$4,011.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,713.85 / $36,469.56 / $71,345.31	Facility		$6,713.85	$36,469.56	$71,345.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $20,429.12	Facility		$625.25	$761.81	$20,429.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,217.56 / $2,468.42 / $16,207.77	Facility		$1,217.56	$2,468.42	$16,207.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,635.19 / $2,231.69 / $2,313.51	Facility		$1,635.19	$2,231.69	$2,313.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,534.76 / $1,578.02 / $17,245.41	Facility		$1,534.76	$1,578.02	$17,245.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,749.60 / $37,275.87 / $71,345.31	Facility		$24,749.60	$37,275.87	$71,345.31
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