Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $12,214.00 / $36,988.41	Facility		$1,733.00	$12,214.00	$36,988.41
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 $1,619.52 / $2,903.71 / $12,028.17	Facility		$1,619.52	$2,903.71	$12,028.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,891.97 / $2,523.09 / $2,635.00	Facility		$1,891.97	$2,523.09	$2,635.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,755.38 / $1,794.18 / $4,000.25	Facility		$1,755.38	$1,794.18	$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 $3,028.00 / $4,686.00 / $20,708.00	Facility		$3,028.00	$4,686.00	$20,708.00