Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,303.58 / $7,920.26 / $20,680.40	Facility		$2,303.58	$7,920.26	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,079.35 / $10,956.90 / $24,231.69	Facility		$2,079.35	$10,956.90	$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 $1,632.45 / $2,004.83 / $3,868.36	Facility		$1,632.45	$2,004.83	$3,868.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,945.30 / $2,792.56 / $3,048.50	Facility		$1,945.30	$2,792.56	$3,048.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,504.82 / $2,040.77 / $2,079.35	Facility		$1,504.82	$2,040.77	$2,079.35
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