Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,554.81 / $4,011.00 / $18,711.00	Facility		$1,554.81	$4,011.00	$18,711.00
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 $1,273.57 / $2,179.51 / $8,210.75	Facility		$1,273.57	$2,179.51	$8,210.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,432.76 / $1,870.64 / $1,948.36	Facility		$1,432.76	$1,870.64	$1,948.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,292.41 / $1,328.96 / $2,173.03	Facility		$1,292.41	$1,328.96	$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