Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,618.07 / $5,485.17 / $24,827.00	Facility		$2,618.07	$5,485.17	$24,827.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,722.80 / $17,398.96 / $26,542.00	Facility		$3,722.80	$17,398.96	$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 $2,091.75 / $3,983.54 / $6,815.25	Facility		$2,091.75	$3,983.54	$6,815.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,708.72 / $3,617.00 / $3,737.96	Facility		$2,708.72	$3,617.00	$3,737.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,513.62 / $2,547.32 / $3,953.90	Facility		$2,513.62	$2,547.32	$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