Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,402.68 / $5,578.81 / $20,680.40	Facility		$1,402.68	$5,578.81	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,701.80 / $14,811.42 / $28,332.57	Facility		$2,701.80	$14,811.42	$28,332.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.00 / $906.00 / $6,225.54	Facility		$906.00	$906.00	$6,225.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,129.32 / $2,264.71 / $5,459.58	Facility		$1,129.32	$2,264.71	$5,459.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,330.35 / $1,770.14 / $1,867.29	Facility		$1,330.35	$1,770.14	$1,867.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,228.54 / $1,228.54 / $1,578.17	Facility		$1,228.54	$1,228.54	$1,578.17
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 $1,224.00 / $1,862.00 / $10,522.00	Facility		$1,224.00	$1,862.00	$10,522.00