Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,413.97 / $12,689.00 / $25,918.12	Facility		$1,413.97	$12,689.00	$25,918.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,817.25 / $15,988.64 / $31,278.54	Facility		$9,817.25	$15,988.64	$31,278.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,066.66 / $4,066.66 / $6,775.01	Facility		$4,066.66	$4,066.66	$6,775.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $952.88 / $1,658.78 / $12,028.17	Facility		$952.88	$1,658.78	$12,028.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.49 / $1,448.54 / $1,574.50	Facility		$1,047.49	$1,448.54	$1,574.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,046.43 / $1,073.95 / $2,429.53	Facility		$1,046.43	$1,073.95	$2,429.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,603.20 / $16,342.14 / $31,278.54	Facility		$10,603.20	$16,342.14	$31,278.54
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