Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,011.22 / $2,032.12 / $18,711.00	Facility		$1,011.22	$2,032.12	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,751.36 / $9,172.83 / $20,286.13	Facility		$2,751.36	$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 $695.02 / $1,297.27 / $2,806.97	Facility		$695.02	$1,297.27	$2,806.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $920.88 / $1,342.56 / $1,549.04	Facility		$920.88	$1,342.56	$1,549.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,035.10 / $2,961.46	Facility		$986.25	$1,035.10	$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 $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00