Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,193.38 / $6,470.00 / $22,024.00	Facility		$2,193.38	$6,470.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,750.34 / $10,270.23 / $20,959.32	Facility		$1,750.34	$10,270.23	$20,959.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $3,759.09	Facility		$734.00	$734.00	$3,759.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,591.60 / $1,967.08 / $3,735.27	Facility		$1,591.60	$1,967.08	$3,735.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,821.72 / $2,569.29 / $2,900.43	Facility		$1,821.72	$2,569.29	$2,900.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,750.34 / $1,961.04 / $1,978.35	Facility		$1,750.34	$1,961.04	$1,978.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,995.08 / $10,950.64 / $20,959.32	Facility		$7,995.08	$10,950.64	$20,959.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $2,155.00 / $11,941.00	Facility		$1,620.00	$2,155.00	$11,941.00