Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.40 / $7,920.26 / $25,998.64	Facility		$1,452.40	$7,920.26	$25,998.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,576.03 / $20,273.81 / $38,781.51	Facility		$8,576.03	$20,273.81	$38,781.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $12,008.73	Facility		$714.97	$870.49	$12,008.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $857.63 / $1,754.06 / $10,531.26	Facility		$857.63	$1,754.06	$10,531.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,144.15 / $1,553.06 / $1,601.30	Facility		$1,144.15	$1,553.06	$1,601.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,064.55 / $1,092.23 / $8,576.03	Facility		$1,064.55	$1,092.23	$8,576.03
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 $5,547.00 / $24,764.99 / $40,868.01	Facility		$5,547.00	$24,764.99	$40,868.01