Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,051.23 / $7,920.26 / $19,900.00	Facility		$1,051.23	$7,920.26	$19,900.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,363.09 / $9,044.98 / $22,922.83	Facility		$5,363.09	$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 $695.31 / $1,208.21 / $7,931.04	Facility		$695.31	$1,208.21	$7,931.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $790.86 / $1,045.20 / $1,153.74	Facility		$790.86	$1,045.20	$1,153.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $769.19 / $786.95 / $1,367.95	Facility		$769.19	$786.95	$1,367.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,464.82 / $8,854.69 / $16,947.71	Facility		$6,464.82	$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