Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,044.40 / $5,347.12 / $18,681.96	Facility		$1,044.40	$5,347.12	$18,681.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,879.37 / $25,560.89	Facility		$6,079.47	$9,879.37	$25,560.89
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 $889.56 / $1,634.97 / $9,036.82	Facility		$889.56	$1,634.97	$9,036.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,081.92 / $1,394.94 / $1,444.52	Facility		$1,081.92	$1,394.94	$1,444.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $956.28 / $985.29 / $1,470.05	Facility		$956.28	$985.29	$1,470.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,208.83 / $9,873.73 / $18,898.13	Facility		$7,208.83	$9,873.73	$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