Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,114.93 / $3,925.18 / $18,711.00	Facility		$1,114.93	$3,925.18	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,641.35 / $7,929.30 / $16,394.00	Facility		$1,641.35	$7,929.30	$16,394.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,311.26	Facility		$625.25	$761.81	$3,311.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $648.48 / $1,236.11 / $3,028.83	Facility		$648.48	$1,236.11	$3,028.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $839.37 / $1,145.70 / $1,216.05	Facility		$839.37	$1,145.70	$1,216.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $813.14 / $1,208.98 / $1,915.04	Facility		$813.14	$1,208.98	$1,915.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,806.07 / $7,956.97 / $15,220.78	Facility		$5,806.07	$7,956.97	$15,220.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,759.00 / $11,941.00	Facility		$1,300.00	$2,759.00	$11,941.00