Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $20,680.40	Facility		$1,733.00	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,412.56 / $16,547.20 / $26,542.00	Facility		$3,412.56	$16,547.20	$26,542.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $6,910.09	Facility		$883.20	$1,075.31	$6,910.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,135.50 / $2,149.15 / $6,320.69	Facility		$1,135.50	$2,149.15	$6,320.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,440.60 / $1,925.58 / $2,031.16	Facility		$1,440.60	$1,925.58	$2,031.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.91 / $1,374.20 / $3,953.90	Facility		$1,359.91	$1,374.20	$3,953.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,595.73 / $31,745.76	Facility		$10,761.59	$16,595.73	$31,745.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,038.00 / $10,522.00	Facility		$1,100.00	$2,038.00	$10,522.00