Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,299.00 / $6,470.00 / $25,612.66	Facility		$1,299.00	$6,470.00	$25,612.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12,650.00 / $27,770.10 / $55,801.25	Facility		$12,650.00	$27,770.10	$55,801.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,960.89 / $6,960.89 / $11,596.76	Facility		$6,960.89	$6,960.89	$11,596.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,266.00 / $2,140.26 / $17,873.87	Facility		$1,266.00	$2,140.26	$17,873.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,460.91 / $1,756.39 / $2,070.30	Facility		$1,460.91	$1,756.39	$2,070.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,221.74 / $1,247.60 / $4,000.25	Facility		$1,221.74	$1,247.60	$4,000.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,916.23 / $29,070.27 / $55,801.25	Facility		$18,916.23	$29,070.27	$55,801.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,075.00 / $9,912.10 / $19,271.00	Facility		$4,075.00	$9,912.10	$19,271.00