Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,757.08 / $7,144.00 / $27,982.24	Facility		$1,757.08	$7,144.00	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,892.57 / $16,197.56 / $30,984.11	Facility		$9,892.57	$16,197.56	$30,984.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,132.00 / $17,691.00 / $36,898.00	Facility		$17,132.00	$17,691.00	$36,898.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,610.17 / $3,016.51 / $18,350.24	Facility		$1,610.17	$3,016.51	$18,350.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,993.27 / $2,486.36 / $2,640.44	Facility		$1,993.27	$2,486.36	$2,640.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $1,759.00 / $1,781.39	Facility		$1,759.00	$1,759.00	$1,781.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,709.09 / $16,197.56 / $30,984.11	Facility		$11,709.09	$16,197.56	$30,984.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,403.04 / $19,271.00	Facility		$3,028.00	$11,403.04	$19,271.00