Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,060.63 / $11,348.00 / $20,965.00	Facility		$1,060.63	$11,348.00	$20,965.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,490.98 / $9,167.59 / $17,907.41	Facility		$5,490.98	$9,167.59	$17,907.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $1,348.05 / $3,740.43	Facility		$714.97	$1,348.05	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $744.72 / $1,504.42 / $3,280.24	Facility		$744.72	$1,504.42	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $988.82 / $1,340.00 / $1,400.30	Facility		$988.82	$1,340.00	$1,400.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $927.29 / $955.13 / $2,961.46	Facility		$927.29	$955.13	$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 / $2,942.06 / $11,941.00	Facility		$2,155.00	$2,942.06	$11,941.00