Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.02 / $5,116.62 / $22,024.00	Facility		$1,169.02	$5,116.62	$22,024.00
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 $714.97 / $918.00 / $6,910.09	Facility		$714.97	$918.00	$6,910.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $706.87 / $1,370.08 / $6,320.69	Facility		$706.87	$1,370.08	$6,320.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $900.98 / $1,201.31 / $1,276.34	Facility		$900.98	$1,201.31	$1,276.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $845.30 / $1,994.21 / $3,953.90	Facility		$845.30	$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 $1,400.00 / $4,016.00 / $13,169.00	Facility		$1,400.00	$4,016.00	$13,169.00