Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,060.17 / $6,470.00 / $21,917.86	Facility		$1,060.17	$6,470.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.92 / $6,622.22 / $14,645.34	Facility		$1,071.92	$6,622.22	$14,645.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.00 / $906.00 / $2,430.19	Facility		$906.00	$906.00	$2,430.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $859.41 / $1,229.99 / $2,166.56	Facility		$859.41	$1,229.99	$2,166.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $994.85 / $1,347.37 / $1,415.71	Facility		$994.85	$1,347.37	$1,415.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $925.03 / $925.03 / $954.67	Facility		$925.03	$925.03	$954.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,832.13 / $6,618.43 / $12,667.56	Facility		$4,832.13	$6,618.43	$12,667.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,862.00 / $10,522.00	Facility		$1,224.00	$1,862.00	$10,522.00