Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.43 / $7,920.26 / $20,680.40	Facility		$1,538.43	$7,920.26	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,031.87 / $11,522.14 / $25,481.74	Facility		$2,031.87	$11,522.14	$25,481.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.00 / $906.00 / $4,960.67	Facility		$906.00	$906.00	$4,960.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,023.65 / $2,052.73 / $4,350.34	Facility		$1,023.65	$2,052.73	$4,350.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,195.10 / $1,603.31 / $1,677.01	Facility		$1,195.10	$1,603.31	$1,677.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,099.88 / $1,099.88 / $1,189.34	Facility		$1,099.88	$1,099.88	$1,189.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,600.42 / $11,522.14 / $22,040.55	Facility		$7,600.42	$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