Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,008.89 / $7,863.94 / $20,735.57	Facility		$1,008.89	$7,863.94	$20,735.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,031.87 / $14,811.42 / $28,332.57	Facility		$2,031.87	$14,811.42	$28,332.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.00 / $906.00 / $6,225.54	Facility		$906.00	$906.00	$6,225.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $814.42 / $1,632.73 / $5,459.58	Facility		$814.42	$1,632.73	$5,459.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $955.01 / $1,275.68 / $1,346.70	Facility		$955.01	$1,275.68	$1,346.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $880.18 / $880.18 / $909.43	Facility		$880.18	$880.18	$909.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,567.02 / $14,482.75 / $28,332.57	Facility		$9,567.02	$14,482.75	$28,332.57
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