Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,757.90 / $11,393.56 / $22,024.00	Facility		$1,757.90	$11,393.56	$22,024.00
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 $1,431.00 / $1,431.00 / $4,960.67	Facility		$1,431.00	$1,431.00	$4,960.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,378.00 / $2,280.59 / $4,350.34	Facility		$1,378.00	$2,280.59	$4,350.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,551.32 / $1,833.79 / $2,396.65	Facility		$1,551.32	$1,833.79	$2,396.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,255.72 / $1,255.72 / $1,611.36	Facility		$1,255.72	$1,255.72	$1,611.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,407.53 / $11,522.14 / $22,040.55	Facility		$8,407.53	$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