Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,216.69 / $4,577.60 / $22,024.00	Facility		$2,216.69	$4,577.60	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $22,889.35	Facility		$55.00	$5,000.00	$22,889.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $2,000.00 / $2,285.42	Facility		$714.97	$2,000.00	$2,285.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,700.78 / $3,402.79 / $4,369.10	Facility		$1,700.78	$3,402.79	$4,369.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,583.28 / $3,432.42 / $3,670.26	Facility		$2,583.28	$3,432.42	$3,670.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,436.23 / $2,436.23 / $2,503.44	Facility		$2,436.23	$2,436.23	$2,503.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,979.69 / $9,979.69 / $18,894.75	Facility		$9,979.69	$9,979.69	$18,894.75
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,323.00 / $5,793.00	Facility		$702.00	$1,323.00	$5,793.00