Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,591.15 / $6,470.00 / $22,024.00	Facility		$1,591.15	$6,470.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,693.61 / $20,273.81 / $38,781.51	Facility		$8,693.61	$20,273.81	$38,781.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $10,960.48	Facility		$714.97	$870.49	$10,960.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $880.44 / $1,793.98 / $9,611.98	Facility		$880.44	$1,793.98	$9,611.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,183.63 / $1,636.81 / $1,733.96	Facility		$1,183.63	$1,636.81	$1,733.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,156.51 / $1,182.72 / $8,693.61	Facility		$1,156.51	$1,182.72	$8,693.61
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