Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,250.76 / $5,116.62 / $20,680.40	Facility		$1,250.76	$5,116.62	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,445.31 / $9,032.98 / $23,371.01	Facility		$6,445.31	$9,032.98	$23,371.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,763.00 / $3,763.00 / $3,763.00	Facility		$3,763.00	$3,763.00	$3,763.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,014.85 / $1,644.74 / $8,977.36	Facility		$1,014.85	$1,644.74	$8,977.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.14 / $1,457.92 / $1,524.25	Facility		$1,071.14	$1,457.92	$1,524.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,012.46 / $1,012.46 / $1,039.68	Facility		$1,012.46	$1,012.46	$1,039.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,899.78 / $9,027.82 / $17,279.07	Facility		$6,899.78	$9,027.82	$17,279.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,295.00 / $11,941.00	Facility		$2,155.00	$6,295.00	$11,941.00