Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,519.20 / $7,920.26 / $22,024.00	Facility		$1,519.20	$7,920.26	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $31,164.16 / $49,692.55 / $95,056.24	Facility		$31,164.16	$49,692.55	$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 $1,092.83 / $2,130.81 / $56,216.48	Facility		$1,092.83	$2,130.81	$56,216.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,395.36 / $1,698.68 / $1,929.60	Facility		$1,395.36	$1,698.68	$1,929.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,172.35 / $1,172.35 / $1,174.49	Facility		$1,172.35	$1,172.35	$1,174.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36,259.87 / $49,692.55 / $95,056.24	Facility		$36,259.87	$49,692.55	$95,056.24
United Facility/Professional Facility Modifier Low / Median / High Price $4,252.00 / $25,743.00 / $37,152.00	Facility		$4,252.00	$25,743.00	$37,152.00