Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $4,011.00 / $18,711.00	Facility		$1,733.00	$4,011.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,352.73 / $18,458.89 / $36,111.08	Facility		$8,352.73	$18,458.89	$36,111.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $9,275.49	Facility		$625.25	$761.81	$9,275.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,378.79 / $2,818.59 / $8,134.30	Facility		$1,378.79	$2,818.59	$8,134.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,845.83 / $2,497.76 / $2,586.19	Facility		$1,845.83	$2,497.76	$2,586.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,717.32 / $1,764.02 / $9,240.84	Facility		$1,717.32	$1,764.02	$9,240.84
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