Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,510.67 / $5,128.00 / $24,827.00	Facility		$1,510.67	$5,128.00	$24,827.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,396.45 / $9,124.02 / $23,606.56	Facility		$5,396.45	$9,124.02	$23,606.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,982.56 / $1,982.56 / $3,302.92	Facility		$1,982.56	$1,982.56	$3,302.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,023.12 / $1,734.93 / $6,447.65	Facility		$1,023.12	$1,734.93	$6,447.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,138.26 / $1,524.92 / $1,639.48	Facility		$1,138.26	$1,524.92	$1,639.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,092.18 / $1,109.14 / $1,140.42	Facility		$1,092.18	$1,109.14	$1,140.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,812.14 / $9,118.81 / $17,453.22	Facility		$6,812.14	$9,118.81	$17,453.22
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