Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,978.45 / $12,619.36 / $28,169.11	Facility		$1,978.45	$12,619.36	$28,169.11
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 $1,339.80 / $2,277.91 / $11,234.92	Facility		$1,339.80	$2,277.91	$11,234.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,493.00 / $1,984.54 / $2,138.60	Facility		$1,493.00	$1,984.54	$2,138.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,429.67 / $1,451.89 / $2,513.62	Facility		$1,429.67	$1,451.89	$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 $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00