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 / $18,800.00	Facility		$1,733.00	$5,116.62	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,866.94 / $16,595.73 / $31,745.76	Facility		$9,866.94	$16,595.73	$31,745.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,147.74 / $4,147.74 / $6,910.09	Facility		$4,147.74	$4,147.74	$6,910.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,289.85 / $2,258.40 / $6,320.69	Facility		$1,289.85	$2,258.40	$6,320.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,480.78 / $1,958.77 / $2,064.48	Facility		$1,480.78	$1,958.77	$2,064.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,369.87 / $1,385.62 / $2,513.62	Facility		$1,369.87	$1,385.62	$2,513.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,586.25 / $31,745.76	Facility		$10,761.59	$16,586.25	$31,745.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00