Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,036.66 / $3,925.18 / $18,711.00	Facility		$1,036.66	$3,925.18	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,126.02 / $10,802.03 / $20,663.07	Facility		$6,126.02	$10,802.03	$20,663.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,186.71 / $2,186.71 / $3,643.05	Facility		$2,186.71	$2,186.71	$3,643.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $697.89 / $1,184.74 / $6,300.19	Facility		$697.89	$1,184.74	$6,300.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $774.72 / $1,071.33 / $1,143.69	Facility		$774.72	$1,071.33	$1,143.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $756.06 / $780.10 / $1,239.50	Facility		$756.06	$780.10	$1,239.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,004.63 / $10,795.86 / $20,663.07	Facility		$7,004.63	$10,795.86	$20,663.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00