Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $7,920.26 / $25,612.66	Facility		$1,733.00	$7,920.26	$25,612.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,735.64 / $11,522.14 / $25,481.74	Facility		$2,735.64	$11,522.14	$25,481.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,031.00 / $8,109.82	Facility		$1,031.00	$1,031.00	$8,109.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,400.46 / $2,767.45 / $7,112.04	Facility		$1,400.46	$2,767.45	$7,112.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,618.47 / $2,159.41 / $2,270.63	Facility		$1,618.47	$2,159.41	$2,270.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,494.45 / $1,494.45 / $1,601.48	Facility		$1,494.45	$1,494.45	$1,601.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,407.53 / $11,522.14 / $22,040.55	Facility		$8,407.53	$11,522.14	$22,040.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,263.00 / $4,016.00 / $10,312.00	Facility		$2,263.00	$4,016.00	$10,312.00