Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,645.67 / $6,470.00 / $21,917.86	Facility		$1,645.67	$6,470.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,481.51 / $10,956.90 / $24,231.69	Facility		$1,481.51	$10,956.90	$24,231.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.00 / $906.00 / $3,759.09	Facility		$906.00	$906.00	$3,759.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,171.50 / $1,863.78 / $3,438.45	Facility		$1,171.50	$1,863.78	$3,438.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,323.17 / $1,906.82 / $2,168.12	Facility		$1,323.17	$1,906.82	$2,168.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,454.13 / $1,454.13 / $1,478.85	Facility		$1,454.13	$1,454.13	$1,478.85
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