Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $20,680.40	Facility		$1,733.00	$5,128.00	$20,680.40
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 $1,512.42 / $2,609.02 / $11,234.92	Facility		$1,512.42	$2,609.02	$11,234.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,688.48 / $2,261.71 / $2,418.08	Facility		$1,688.48	$2,261.71	$2,418.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,610.87 / $1,621.44 / $2,513.62	Facility		$1,610.87	$1,621.44	$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