Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,060.34 / $7,920.26 / $22,024.00	Facility		$1,060.34	$7,920.26	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,094.00 / $14,302.50 / $28,049.69	Facility		$1,094.00	$14,302.50	$28,049.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,585.08 / $3,585.08 / $5,972.71	Facility		$3,585.08	$3,585.08	$5,972.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,009.64 / $1,968.62 / $11,682.66	Facility		$1,009.64	$1,968.62	$11,682.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,354.89 / $1,596.61 / $1,818.04	Facility		$1,354.89	$1,596.61	$1,818.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,094.00 / $1,126.05 / $2,173.03	Facility		$1,094.00	$1,126.05	$2,173.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,508.65 / $14,655.16 / $28,049.69	Facility		$9,508.65	$14,655.16	$28,049.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00