Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,267.13 / $7,996.68 / $51,285.21	Facility		$1,267.13	$7,996.68	$51,285.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $36,469.56 / $71,345.31	Facility		$11,500.00	$36,469.56	$71,345.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $23,998.40	Facility		$1,005.16	$1,223.70	$23,998.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $733.81 / $1,529.06 / $19,039.49	Facility		$733.81	$1,529.06	$19,039.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $971.42 / $1,332.63 / $1,399.63	Facility		$971.42	$1,332.63	$1,399.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.68 / $954.67 / $19,889.40	Facility		$918.68	$954.67	$19,889.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,749.60 / $37,275.87 / $71,345.31	Facility		$24,749.60	$37,275.87	$71,345.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,540.00 / $19,271.00	Facility		$3,028.00	$11,540.00	$19,271.00