Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.69 / $5,128.00 / $20,680.40	Facility		$1,412.69	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,879.37 / $25,560.89	Facility		$6,079.47	$9,879.37	$25,560.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,353.44 / $2,353.44 / $3,920.80	Facility		$2,353.44	$2,353.44	$3,920.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $956.76 / $1,743.32 / $8,210.75	Facility		$956.76	$1,743.32	$8,210.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,150.03 / $1,505.49 / $1,554.40	Facility		$1,150.03	$1,505.49	$1,554.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,029.67 / $1,060.24 / $1,470.05	Facility		$1,029.67	$1,060.24	$1,470.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,907.26 / $9,879.37 / $18,898.13	Facility		$6,907.26	$9,879.37	$18,898.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00