Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,556.09 / $6,470.00 / $20,680.40	Facility		$1,556.09	$6,470.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,879.25 / $11,515.56 / $22,040.55	Facility		$1,879.25	$11,515.56	$22,040.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $1,925.00 / $7,085.72	Facility		$1,925.00	$1,925.00	$7,085.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,292.56 / $2,484.63 / $6,213.94	Facility		$1,292.56	$2,484.63	$6,213.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,499.71 / $1,955.06 / $2,051.54	Facility		$1,499.71	$1,955.06	$2,051.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,350.39 / $1,350.39 / $1,879.25	Facility		$1,350.39	$1,350.39	$1,879.25
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 / $2,912.00 / $16,315.00	Facility		$2,263.00	$2,912.00	$16,315.00