Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,661.16 / $7,863.94 / $21,917.86	Facility		$1,661.16	$7,863.94	$21,917.86
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 $1,286.20 / $2,668.79 / $5,459.58	Facility		$1,286.20	$2,668.79	$5,459.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,522.78 / $2,105.81 / $2,205.64	Facility		$1,522.78	$2,105.81	$2,205.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,450.96 / $1,450.96 / $1,513.58	Facility		$1,450.96	$1,450.96	$1,513.58
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