Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.88 / $6,470.00 / $21,917.86	Facility		$1,272.88	$6,470.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,589.82 / $41,925.61 / $85,561.09	Facility		$2,589.82	$41,925.61	$85,561.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.00 / $906.00 / $4,457.74	Facility		$906.00	$906.00	$4,457.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,032.98 / $1,952.95 / $4,568.47	Facility		$1,032.98	$1,952.95	$4,568.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,204.42 / $1,618.72 / $1,692.42	Facility		$1,204.42	$1,618.72	$1,692.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,110.76 / $1,110.76 / $1,513.58	Facility		$1,110.76	$1,110.76	$1,513.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30,387.12 / $44,703.21 / $85,561.09	Facility		$30,387.12	$44,703.21	$85,561.09
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