Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,192.43 / $6,470.00 / $18,800.00	Facility		$1,192.43	$6,470.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $8,969.28 / $20,000.00	Facility		$1,800.00	$8,969.28	$20,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $2,285.42 / $3,740.43	Facility		$714.97	$2,285.42	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $752.52 / $1,490.64 / $3,280.24	Facility		$752.52	$1,490.64	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,025.08 / $1,317.16 / $1,387.57	Facility		$1,025.08	$1,317.16	$1,387.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $876.56 / $904.40 / $2,961.46	Facility		$876.56	$904.40	$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 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00