Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,152.90 / $5,128.00 / $20,680.40	Facility		$1,152.90	$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 $705.66 / $1,409.12 / $7,292.72	Facility		$705.66	$1,409.12	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $930.51 / $1,229.68 / $1,285.06	Facility		$930.51	$1,229.68	$1,285.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $855.72 / $876.53 / $6,526.97	Facility		$855.72	$876.53	$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 $1,950.00 / $3,492.00 / $12,835.00	Facility		$1,950.00	$3,492.00	$12,835.00