Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,355.61 / $9,884.46 / $67,516.20	Facility		$1,355.61	$9,884.46	$67,516.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14,555.00 / $49,664.15 / $95,056.24	Facility		$14,555.00	$49,664.15	$95,056.24
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 $1,192.98 / $2,209.01 / $56,216.48	Facility		$1,192.98	$2,209.01	$56,216.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,460.76 / $1,811.23 / $1,940.72	Facility		$1,460.76	$1,811.23	$1,940.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,292.85 / $1,292.85 / $1,303.35	Facility		$1,292.85	$1,292.85	$1,303.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34,852.28 / $49,692.55 / $95,056.24	Facility		$34,852.28	$49,692.55	$95,056.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $16,613.00 / $43,830.00	Facility		$3,960.00	$16,613.00	$43,830.00