Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.27 / $6,470.00 / $24,827.00	Facility		$1,047.27	$6,470.00	$24,827.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,749.10 / $16,173.23 / $29,789.77	Facility		$9,749.10	$16,173.23	$29,789.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,128.48 / $7,128.48 / $7,128.48	Facility		$7,128.48	$7,128.48	$7,128.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $823.54 / $1,326.83 / $10,488.49	Facility		$823.54	$1,326.83	$10,488.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $866.64 / $1,096.68 / $1,204.74	Facility		$866.64	$1,096.68	$1,204.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.03 / $790.03 / $793.81	Facility		$790.03	$790.03	$793.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,098.52 / $15,564.30 / $29,789.77	Facility		$10,098.52	$15,564.30	$29,789.77
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,540.00 / $20,708.00	Facility		$3,028.00	$11,540.00	$20,708.00