Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,083.88 / $4,500.00 / $18,711.00	Facility		$1,083.88	$4,500.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,126.18 / $6,603.99 / $14,605.02	Facility		$1,126.18	$6,603.99	$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 $764.63 / $1,366.89 / $2,522.36	Facility		$764.63	$1,366.89	$2,522.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $875.01 / $1,231.67 / $1,423.08	Facility		$875.01	$1,231.67	$1,423.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $951.75 / $951.75 / $970.67	Facility		$951.75	$951.75	$970.67
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 $1,415.00 / $7,995.05 / $13,047.65	Facility		$1,415.00	$7,995.05	$13,047.65