Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.03 / $6,205.30 / $18,800.00	Facility		$1,004.03	$6,205.30	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $20,286.13	Facility		$2,961.46	$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 $547.23 / $1,124.78 / $3,280.24	Facility		$547.23	$1,124.78	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $739.41 / $1,009.08 / $1,101.48	Facility		$739.41	$1,009.08	$1,101.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $725.71 / $751.31 / $2,961.46	Facility		$725.71	$751.31	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,145.87 / $9,167.59 / $17,546.59	Facility		$6,145.87	$9,167.59	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $11,941.00	Facility		$2,155.00	$3,297.00	$11,941.00