Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,802.20 / $7,144.00 / $27,982.24	Facility		$1,802.20	$7,144.00	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,577.80 / $11,266.46 / $22,040.55	Facility		$1,577.80	$11,266.46	$22,040.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $1,925.00 / $4,960.67	Facility		$1,925.00	$1,925.00	$4,960.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $2,462.51 / $4,350.34	Facility		$1,738.00	$2,462.51	$4,350.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,959.09 / $2,339.94 / $3,079.70	Facility		$1,959.09	$2,339.94	$3,079.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,577.80 / $1,577.80 / $1,793.08	Facility		$1,577.80	$1,577.80	$1,793.08
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