Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,807.19 / $6,470.00 / $21,917.86	Facility		$1,807.19	$6,470.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,624.18 / $6,858.44 / $14,605.02	Facility		$1,624.18	$6,858.44	$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 $1,339.88 / $2,019.60 / $3,534.30	Facility		$1,339.88	$2,019.60	$3,534.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,730.98 / $2,260.58 / $2,803.40	Facility		$1,730.98	$2,260.58	$2,803.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,126.18 / $1,566.47 / $1,624.18	Facility		$1,126.18	$1,566.47	$1,624.18
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 $1,224.00 / $1,862.00 / $10,522.00	Facility		$1,224.00	$1,862.00	$10,522.00