Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,055.02 / $11,861.85 / $21,790.55	Facility		$2,055.02	$11,861.85	$21,790.55
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 $1,031.00 / $1,031.00 / $4,960.67	Facility		$1,031.00	$1,031.00	$4,960.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,451.00 / $2,459.53 / $4,350.34	Facility		$1,451.00	$2,459.53	$4,350.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,702.36 / $2,152.04 / $2,416.02	Facility		$1,702.36	$2,152.04	$2,416.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,471.34 / $1,471.34 / $1,536.89	Facility		$1,471.34	$1,471.34	$1,536.89
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