Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,816.33 / $3,507.00 / $18,711.00	Facility		$1,816.33	$3,507.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,610.06 / $19,823.93 / $38,781.51	Facility		$4,610.06	$19,823.93	$38,781.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $10,540.05	Facility		$883.20	$1,075.31	$10,540.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,355.32 / $2,533.92 / $6,663.25	Facility		$1,355.32	$2,533.92	$6,663.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,889.06 / $2,702.13 / $2,838.79	Facility		$1,889.06	$2,702.13	$2,838.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,877.69 / $1,888.32 / $6,526.97	Facility		$1,877.69	$1,888.32	$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 $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00