Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $757.96 / $4,011.00 / $18,711.00	Facility		$757.96	$4,011.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $810.42 / $4,857.60 / $9,885.68	Facility		$810.42	$4,857.60	$9,885.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.86 / $1,394.86 / $2,323.83	Facility		$1,394.86	$1,394.86	$2,323.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $633.88 / $1,157.84 / $1,874.06	Facility		$633.88	$1,157.84	$1,874.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $732.74 / $1,118.90 / $1,204.66	Facility		$732.74	$1,118.90	$1,204.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $810.42 / $821.69 / $911.96	Facility		$810.42	$821.69	$911.96
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 $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00