Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,091.91 / $5,128.00 / $20,680.40	Facility		$1,091.91	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,478.12 / $9,172.83 / $20,286.13	Facility		$3,478.12	$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 $626.92 / $1,275.79 / $3,280.24	Facility		$626.92	$1,275.79	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $826.14 / $1,128.28 / $1,197.29	Facility		$826.14	$1,128.28	$1,197.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $791.84 / $816.66 / $2,961.46	Facility		$791.84	$816.66	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,006.61 / $9,172.83 / $17,546.59	Facility		$7,006.61	$9,172.83	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00