Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.16 / $3,007.75 / $16,044.32	Facility		$612.16	$3,007.75	$16,044.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $791.39 / $9,556.43 / $19,448.18	Facility		$791.39	$9,556.43	$19,448.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,782.83 / $2,782.83 / $4,636.17	Facility		$2,782.83	$2,782.83	$4,636.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $635.46 / $1,156.43 / $3,596.22	Facility		$635.46	$1,156.43	$3,596.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $775.86 / $1,132.56 / $1,234.81	Facility		$775.86	$1,132.56	$1,234.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $791.39 / $842.25 / $1,874.86	Facility		$791.39	$842.25	$1,874.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,418.65 / $10,161.12 / $19,448.18	Facility		$7,418.65	$10,161.12	$19,448.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00