Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,589.32 / $5,128.00 / $22,024.00	Facility		$1,589.32	$5,128.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,433.20 / $18,458.89 / $36,111.08	Facility		$5,433.20	$18,458.89	$36,111.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $7,318.13	Facility		$714.97	$870.49	$7,318.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $932.51 / $1,904.93 / $6,417.76	Facility		$932.51	$1,904.93	$6,417.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,245.58 / $1,678.28 / $1,727.93	Facility		$1,245.58	$1,678.28	$1,727.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.64 / $1,178.59 / $5,433.20	Facility		$1,145.64	$1,178.59	$5,433.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,241.40 / $18,867.00 / $36,111.08	Facility		$12,241.40	$18,867.00	$36,111.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00