Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,103.89 / $4,500.00 / $18,711.00	Facility		$1,103.89	$4,500.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,126.18 / $6,603.99 / $14,605.02	Facility		$1,126.18	$6,603.99	$14,605.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.00 / $642.00 / $2,876.24	Facility		$642.00	$642.00	$2,876.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $860.90 / $1,426.06 / $2,522.36	Facility		$860.90	$1,426.06	$2,522.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $979.51 / $1,348.03 / $1,461.27	Facility		$979.51	$1,348.03	$1,461.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $962.63 / $962.63 / $996.72	Facility		$962.63	$962.63	$996.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,282.39 / $6,600.21 / $12,632.68	Facility		$4,282.39	$6,600.21	$12,632.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,862.00 / $10,522.00	Facility		$1,224.00	$1,862.00	$10,522.00