Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,456.35 / $5,128.00 / $18,800.00	Facility		$1,456.35	$5,128.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,562.96 / $14,663.54 / $28,049.69	Facility		$8,562.96	$14,663.54	$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 $986.16 / $1,797.67 / $8,210.75	Facility		$986.16	$1,797.67	$8,210.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,195.10 / $1,548.37 / $1,601.30	Facility		$1,195.10	$1,548.37	$1,601.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,060.02 / $1,092.23 / $2,173.03	Facility		$1,060.02	$1,092.23	$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 $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00