Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,555.37 / $5,128.00 / $22,671.14	Facility		$1,555.37	$5,128.00	$22,671.14
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 $1,394.89 / $1,698.13 / $6,910.09	Facility		$1,394.89	$1,698.13	$6,910.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $940.50 / $1,863.21 / $6,320.69	Facility		$940.50	$1,863.21	$6,320.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,232.34 / $1,614.70 / $1,695.77	Facility		$1,232.34	$1,614.70	$1,695.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,123.89 / $1,994.21 / $3,953.90	Facility		$1,123.89	$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 / $3,509.00 / $16,315.00	Facility		$1,400.00	$3,509.00	$16,315.00