Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.00 / $6,470.00 / $22,024.00	Facility		$1,125.00	$6,470.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,126.18 / $6,858.44 / $14,605.02	Facility		$1,126.18	$6,858.44	$14,605.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,031.00 / $2,876.24	Facility		$1,031.00	$1,031.00	$2,876.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $772.40 / $1,366.89 / $2,522.36	Facility		$772.40	$1,366.89	$2,522.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $893.42 / $1,210.02 / $1,279.03	Facility		$893.42	$1,210.02	$1,279.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $844.85 / $844.85 / $1,013.21	Facility		$844.85	$844.85	$1,013.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,044.41 / $6,729.88 / $12,632.68	Facility		$5,044.41	$6,729.88	$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