Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.85 / $2,547.38 / $17,100.00	Facility		$1,129.85	$2,547.38	$17,100.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,436.81 / $8,597.96 / $17,546.59	Facility		$1,436.81	$8,597.96	$17,546.59
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 $671.88 / $1,360.37 / $2,880.24	Facility		$671.88	$1,360.37	$2,880.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,057.92 / $1,895.49 / $2,145.34	Facility		$1,057.92	$1,895.49	$2,145.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,436.81 / $2,961.46	Facility		$986.25	$1,436.81	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,167.59 / $17,546.59	Facility		$6,693.27	$9,167.59	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,942.06 / $11,941.00	Facility		$2,155.00	$2,942.06	$11,941.00