Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,629.22 / $6,470.00 / $21,917.86	Facility		$1,629.22	$6,470.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,417.89 / $14,482.75 / $28,332.57	Facility		$1,417.89	$14,482.75	$28,332.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $1,925.00 / $7,849.29	Facility		$1,925.00	$1,925.00	$7,849.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,141.14 / $2,025.36 / $5,820.75	Facility		$1,141.14	$2,025.36	$5,820.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,494.99 / $2,046.18 / $2,152.71	Facility		$1,494.99	$2,046.18	$2,152.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,417.89 / $1,417.89 / $1,916.91	Facility		$1,417.89	$1,417.89	$1,916.91
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 $2,263.00 / $2,912.00 / $16,315.00	Facility		$2,263.00	$2,912.00	$16,315.00