Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,440.43 / $5,116.62 / $18,800.00	Facility		$1,440.43	$5,116.62	$18,800.00
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 $975.66 / $1,778.61 / $9,036.82	Facility		$975.66	$1,778.61	$9,036.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,112.30 / $1,529.61 / $1,585.22	Facility		$1,112.30	$1,529.61	$1,585.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,048.70 / $1,081.26 / $2,173.03	Facility		$1,048.70	$1,081.26	$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 $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00