Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,009.43 / $6,683.88 / $25,541.68	Facility		$1,009.43	$6,683.88	$25,541.68
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 $1,005.16 / $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 $610.50 / $1,221.43 / $6,320.69	Facility		$610.50	$1,221.43	$6,320.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $815.36 / $1,057.27 / $1,091.43	Facility		$815.36	$1,057.27	$1,091.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $727.07 / $1,994.21 / $3,953.90	Facility		$727.07	$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