Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,116.62 / $18,711.00	Facility		$1,733.00	$5,116.62	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,512.21 / $10,956.90 / $20,959.32	Facility		$1,512.21	$10,956.90	$20,959.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.00 / $642.00 / $3,759.09	Facility		$642.00	$642.00	$3,759.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,191.91 / $1,863.78 / $3,438.45	Facility		$1,191.91	$1,863.78	$3,438.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,367.10 / $1,910.84 / $2,217.03	Facility		$1,367.10	$1,910.84	$2,217.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,462.03 / $1,484.93 / $1,512.21	Facility		$1,462.03	$1,484.93	$1,512.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,105.06 / $10,950.64 / $20,959.32	Facility		$7,105.06	$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