Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,287.61 / $6,470.00 / $21,917.86	Facility		$1,287.61	$6,470.00	$21,917.86
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 $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 $953.62 / $1,754.31 / $3,376.68	Facility		$953.62	$1,754.31	$3,376.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,083.90 / $1,552.39 / $1,718.55	Facility		$1,083.90	$1,552.39	$1,718.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,143.36 / $1,143.36 / $1,172.21	Facility		$1,143.36	$1,143.36	$1,172.21
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