Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,137.83 / $3,925.18 / $18,711.00	Facility		$1,137.83	$3,925.18	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,879.37 / $18,898.13	Facility		$6,079.47	$9,879.37	$18,898.13
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 $770.70 / $1,405.95 / $9,036.82	Facility		$770.70	$1,405.95	$9,036.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $919.58 / $1,207.33 / $1,256.64	Facility		$919.58	$1,207.33	$1,256.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $832.61 / $854.59 / $1,470.05	Facility		$832.61	$854.59	$1,470.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,208.83 / $9,879.37 / $18,898.13	Facility		$7,208.83	$9,879.37	$18,898.13
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