Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,551.20 / $7,920.26 / $20,711.71	Facility		$1,551.20	$7,920.26	$20,711.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,144.33 / $6,603.99 / $14,605.02	Facility		$1,144.33	$6,603.99	$14,605.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.00 / $906.00 / $2,876.24	Facility		$906.00	$906.00	$2,876.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,017.98 / $1,455.74 / $2,598.75	Facility		$1,017.98	$1,455.74	$2,598.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,191.68 / $1,593.93 / $1,677.68	Facility		$1,191.68	$1,593.93	$1,677.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,109.84 / $1,109.84 / $1,144.33	Facility		$1,109.84	$1,109.84	$1,144.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,818.83 / $6,600.21 / $12,632.68	Facility		$4,818.83	$6,600.21	$12,632.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,220.00 / $2,136.00 / $10,522.00	Facility		$1,220.00	$2,136.00	$10,522.00