Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,814.69 / $7,144.00 / $24,827.00	Facility		$1,814.69	$7,144.00	$24,827.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17,019.64 / $31,158.23 / $59,636.26	Facility		$17,019.64	$31,158.23	$59,636.26
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 $1,661.10 / $3,122.84 / $37,088.49	Facility		$1,661.10	$3,122.84	$37,088.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,013.42 / $2,563.58 / $2,755.17	Facility		$2,013.42	$2,563.58	$2,755.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,835.77	Facility		$1,819.70	$1,819.70	$1,835.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20,216.27 / $31,176.05 / $59,636.26	Facility		$20,216.27	$31,176.05	$59,636.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,540.00 / $20,708.00	Facility		$3,028.00	$11,540.00	$20,708.00