Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,095.89 / $5,128.00 / $20,680.40	Facility		$1,095.89	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,308.60 / $9,124.02 / $23,606.56	Facility		$5,308.60	$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 $1,029.00 / $1,758.50 / $8,266.54	Facility		$1,029.00	$1,758.50	$8,266.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,149.18 / $1,537.65 / $1,648.32	Facility		$1,149.18	$1,537.65	$1,648.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,098.07 / $1,115.99 / $1,140.42	Facility		$1,098.07	$1,115.99	$1,140.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,118.81 / $17,453.22	Facility		$5,916.52	$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