Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,198.21 / $6,470.00 / $20,680.40	Facility		$1,198.21	$6,470.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,038.73 / $6,457.44 / $12,632.68	Facility		$1,038.73	$6,457.44	$12,632.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $1,925.00 / $2,876.24	Facility		$1,925.00	$1,925.00	$2,876.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $795.34 / $1,260.21 / $2,184.36	Facility		$795.34	$1,260.21	$2,184.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,098.33 / $1,490.75 / $1,579.86	Facility		$1,098.33	$1,490.75	$1,579.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,038.73 / $1,038.73 / $1,077.60	Facility		$1,038.73	$1,038.73	$1,077.60
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 $1,220.00 / $2,136.00 / $10,522.00	Facility		$1,220.00	$2,136.00	$10,522.00