Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,132.00 / $22,024.00	Facility		$1,733.00	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $18,000.00 / $27,396.88	Facility		$6,526.97	$18,000.00	$27,396.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,474.21 / $2,962.12 / $6,397.05	Facility		$1,474.21	$2,962.12	$6,397.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,938.44 / $2,599.41 / $2,749.68	Facility		$1,938.44	$2,599.41	$2,749.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,828.76 / $1,875.53 / $6,526.97	Facility		$1,828.76	$1,875.53	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00