Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,133.90 / $6,470.00 / $20,680.40	Facility		$1,133.90	$6,470.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,462.03 / $10,956.90 / $24,231.69	Facility		$1,462.03	$10,956.90	$24,231.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $3,759.09	Facility		$734.00	$734.00	$3,759.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $770.28 / $1,611.46 / $3,376.68	Facility		$770.28	$1,611.46	$3,376.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $904.50 / $1,263.11 / $1,489.41	Facility		$904.50	$1,263.11	$1,489.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,003.85 / $1,003.85 / $1,449.37	Facility		$1,003.85	$1,003.85	$1,449.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,995.08 / $10,950.64 / $20,959.32	Facility		$7,995.08	$10,950.64	$20,959.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $2,155.00 / $11,941.00	Facility		$1,620.00	$2,155.00	$11,941.00