Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,701.33 / $3,925.18 / $18,711.00	Facility		$1,701.33	$3,925.18	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $25,527.34 / $49,939.07	Facility		$11,500.00	$25,527.34	$49,939.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,795.54 / $6,795.54 / $11,321.29	Facility		$6,795.54	$6,795.54	$11,321.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,152.06 / $2,117.07 / $10,355.62	Facility		$1,152.06	$2,117.07	$10,355.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,386.15 / $1,813.69 / $1,872.65	Facility		$1,386.15	$1,813.69	$1,872.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,240.77 / $1,277.32 / $4,273.27	Facility		$1,240.77	$1,277.32	$4,273.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,928.99 / $26,091.73 / $49,939.07	Facility		$16,928.99	$26,091.73	$49,939.07
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