Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,181.71 / $5,128.00 / $22,024.00	Facility		$1,181.71	$5,128.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $16,223.75 / $31,278.54	Facility		$5,897.00	$16,223.75	$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 $1,163.82 / $2,015.83 / $12,766.31	Facility		$1,163.82	$2,015.83	$12,766.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,314.34 / $1,795.60 / $1,893.42	Facility		$1,314.34	$1,795.60	$1,893.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,261.60 / $1,291.48 / $2,429.53	Facility		$1,261.60	$1,291.48	$2,429.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,684.88 / $16,342.14 / $31,278.54	Facility		$10,684.88	$16,342.14	$31,278.54
United Facility/Professional Facility Modifier Low / Median / High Price $12,579.00 / $20,867.06 / $33,377.36	Facility		$12,579.00	$20,867.06	$33,377.36