Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,108.38 / $7,489.85 / $20,680.40	Facility		$1,108.38	$7,489.85	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,462.03 / $10,956.90 / $24,231.69	Facility		$1,462.03	$10,956.90	$24,231.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $3,759.09	Facility		$734.00	$734.00	$3,759.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $828.25 / $1,630.88 / $3,376.68	Facility		$828.25	$1,630.88	$3,376.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $950.60 / $1,332.63 / $1,474.67	Facility		$950.60	$1,332.63	$1,474.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $979.84 / $979.84 / $1,039.77	Facility		$979.84	$979.84	$1,039.77
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