Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,090.57 / $5,128.00 / $20,680.40	Facility		$1,090.57	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,145.87 / $19,913.50 / $38,781.51	Facility		$6,145.87	$19,913.50	$38,781.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $614.51 / $1,262.44 / $7,292.72	Facility		$614.51	$1,262.44	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $801.15 / $1,100.14 / $1,192.59	Facility		$801.15	$1,100.14	$1,192.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $789.58 / $813.46 / $6,526.97	Facility		$789.58	$813.46	$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 $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00