Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,490.99 / $5,128.00 / $20,680.40	Facility		$1,490.99	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,490.98 / $9,172.83 / $20,286.13	Facility		$5,490.98	$9,172.83	$20,286.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $918.28 / $1,820.53 / $3,280.24	Facility		$918.28	$1,820.53	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,196.72 / $1,593.20 / $1,654.90	Facility		$1,196.72	$1,593.20	$1,654.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,101.70 / $2,961.46	Facility		$986.25	$1,101.70	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $3,492.00 / $11,941.00	Facility		$1,950.00	$3,492.00	$11,941.00