Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.53 / $5,128.00 / $18,800.00	Facility		$869.53	$5,128.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,040.51 / $5,167.93 / $11,429.12	Facility		$1,040.51	$5,167.93	$11,429.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $2,323.83	Facility		$644.92	$1,110.00	$2,323.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $883.80 / $1,453.36 / $2,125.62	Facility		$883.80	$1,453.36	$2,125.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,005.57 / $1,315.63 / $1,471.64	Facility		$1,005.57	$1,315.63	$1,471.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.83 / $927.25 / $1,040.51	Facility		$759.83	$927.25	$1,040.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,770.96 / $5,167.93 / $9,885.68	Facility		$3,770.96	$5,167.93	$9,885.68
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,120.00 / $6,857.00	Facility		$629.00	$1,120.00	$6,857.00