Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,332.22 / $5,128.00 / $18,800.00	Facility		$1,332.22	$5,128.00	$18,800.00
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 $902.16 / $1,644.51 / $9,036.82	Facility		$902.16	$1,644.51	$9,036.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,078.01 / $1,413.70 / $1,471.52	Facility		$1,078.01	$1,413.70	$1,471.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $969.87 / $999.92 / $1,470.05	Facility		$969.87	$999.92	$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 $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00