Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,456.55 / $7,863.94 / $20,680.40	Facility		$1,456.55	$7,863.94	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,481.51 / $10,956.90 / $24,231.69	Facility		$1,481.51	$10,956.90	$24,231.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.00 / $906.00 / $3,759.09	Facility		$906.00	$906.00	$3,759.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,029.58 / $1,786.45 / $3,376.68	Facility		$1,029.58	$1,786.45	$3,376.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,163.77 / $1,682.37 / $1,913.52	Facility		$1,163.77	$1,682.37	$1,913.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,281.99 / $1,281.99 / $1,462.03	Facility		$1,281.99	$1,281.99	$1,462.03
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