Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,554.02 / $7,489.85 / $20,680.40	Facility		$1,554.02	$7,489.85	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,351.50 / $5,682.43 / $12,100.72	Facility		$2,351.50	$5,682.43	$12,100.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,190.81	Facility		$714.97	$870.49	$2,190.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $869.72 / $1,644.07 / $2,286.37	Facility		$869.72	$1,644.07	$2,286.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,183.63 / $1,616.71 / $1,725.92	Facility		$1,183.63	$1,616.71	$1,725.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $1,127.06 / $1,795.87	Facility		$598.07	$1,127.06	$1,795.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,913.81 / $5,468.48 / $10,466.57	Facility		$3,913.81	$5,468.48	$10,466.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00