Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,070.59 / $2,455.75 / $22,024.00	Facility		$1,070.59	$2,455.75	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,152.09 / $18,220.34 / $35,644.43	Facility		$1,152.09	$18,220.34	$35,644.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $840.82 / $1,729.80 / $2,368.17	Facility		$840.82	$1,729.80	$2,368.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,234.33 / $1,587.49 / $1,698.45	Facility		$1,234.33	$1,587.49	$1,698.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,149.26 / $1,149.26 / $1,152.09	Facility		$1,149.26	$1,149.26	$1,152.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,233.34 / $18,633.84 / $35,644.43	Facility		$14,233.34	$18,633.84	$35,644.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,853.00 / $5,643.00 / $19,271.00	Facility		$2,853.00	$5,643.00	$19,271.00