Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,338.04 / $3,925.18 / $18,711.00	Facility		$1,338.04	$3,925.18	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,866.94 / $16,394.00 / $31,745.76	Facility		$9,866.94	$16,394.00	$31,745.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,147.74 / $4,147.74 / $6,910.09	Facility		$4,147.74	$4,147.74	$6,910.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $942.18 / $1,621.78 / $11,234.92	Facility		$942.18	$1,621.78	$11,234.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,043.13 / $1,391.72 / $1,457.92	Facility		$1,043.13	$1,391.72	$1,457.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.89 / $981.64 / $2,513.62	Facility		$964.89	$981.64	$2,513.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,586.25 / $31,745.76	Facility		$10,761.59	$16,586.25	$31,745.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00