Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,281.40 / $5,132.00 / $27,309.87	Facility		$1,281.40	$5,132.00	$27,309.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,722.80 / $16,547.20 / $26,542.00	Facility		$3,722.80	$16,547.20	$26,542.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $6,910.09	Facility		$1,005.16	$1,223.70	$6,910.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $774.75 / $1,536.96 / $6,320.69	Facility		$774.75	$1,536.96	$6,320.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,007.51 / $1,349.97 / $1,392.93	Facility		$1,007.51	$1,349.97	$1,392.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $925.03 / $1,994.21 / $3,953.90	Facility		$925.03	$1,994.21	$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