Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,237.96 / $5,128.00 / $23,000.00	Facility		$1,237.96	$5,128.00	$23,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,089.03 / $9,044.98 / $22,922.83	Facility		$5,089.03	$9,044.98	$22,922.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,380.38 / $2,380.38 / $3,965.68	Facility		$2,380.38	$2,380.38	$3,965.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $777.44 / $1,338.26 / $5,198.37	Facility		$777.44	$1,338.26	$5,198.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $1,216.05 / $1,357.42	Facility		$882.00	$1,216.05	$1,357.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $902.38 / $925.88 / $1,367.95	Facility		$902.38	$925.88	$1,367.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,745.15 / $8,854.69 / $16,947.71	Facility		$5,745.15	$8,854.69	$16,947.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00