Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,319.87 / $5,128.00 / $20,680.40	Facility		$1,319.87	$5,128.00	$20,680.40
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 $742.54 / $1,517.99 / $7,292.72	Facility		$742.54	$1,517.99	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $995.16 / $1,374.17 / $1,457.92	Facility		$995.16	$1,374.17	$1,457.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $953.57 / $994.43 / $6,526.97	Facility		$953.57	$994.43	$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 $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00