Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,285.01 / $5,116.62 / $18,711.00	Facility		$1,285.01	$5,116.62	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,156.67 / $6,858.44 / $14,605.02	Facility		$1,156.67	$6,858.44	$14,605.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.00 / $642.00 / $2,876.24	Facility		$642.00	$642.00	$2,876.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $915.05 / $1,455.74 / $2,630.91	Facility		$915.05	$1,455.74	$2,630.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,113.04 / $1,602.64 / $1,695.77	Facility		$1,113.04	$1,602.64	$1,695.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,116.65 / $1,116.65 / $1,156.67	Facility		$1,116.65	$1,116.65	$1,156.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,044.41 / $6,729.88 / $12,632.68	Facility		$5,044.41	$6,729.88	$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