Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,620.52 / $10,122.46 / $20,680.40	Facility		$2,620.52	$10,122.46	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,363.15 / $11,182.10 / $24,231.69	Facility		$2,363.15	$11,182.10	$24,231.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,031.00 / $3,759.09	Facility		$1,031.00	$1,031.00	$3,759.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,646.87 / $2,305.50 / $4,415.35	Facility		$1,646.87	$2,305.50	$4,415.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,326.03 / $3,187.19 / $3,464.57	Facility		$2,326.03	$3,187.19	$3,464.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,504.82 / $2,327.06 / $2,363.15	Facility		$1,504.82	$2,327.06	$2,363.15
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 $1,771.00 / $13,013.21 / $21,573.23	Facility		$1,771.00	$13,013.21	$21,573.23