Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.97 / $6,470.00 / $20,680.40	Facility		$1,125.97	$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 $766.00 / $1,611.46 / $3,376.68	Facility		$766.00	$1,611.46	$3,376.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $890.82 / $1,252.85 / $1,477.35	Facility		$890.82	$1,252.85	$1,477.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $995.69 / $995.69 / $1,449.37	Facility		$995.69	$995.69	$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 $1,613.00 / $2,937.00 / $11,941.00	Facility		$1,613.00	$2,937.00	$11,941.00