Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,777.37 / $5,365.51 / $22,024.00	Facility		$1,777.37	$5,365.51	$22,024.00
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 $1,203.72 / $2,201.82 / $8,210.75	Facility		$1,203.72	$2,201.82	$8,210.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,419.06 / $1,892.08 / $1,956.40	Facility		$1,419.06	$1,892.08	$1,956.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,298.30 / $1,334.44 / $2,173.03	Facility		$1,298.30	$1,334.44	$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