Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.41 / $5,128.00 / $18,800.00	Facility		$900.41	$5,128.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,241.82 / $7,873.79 / $15,720.23	Facility		$1,241.82	$7,873.79	$15,720.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $2,846.84	Facility		$644.92	$1,110.00	$2,846.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $886.51 / $1,461.44 / $2,604.02	Facility		$886.51	$1,461.44	$2,604.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $985.88 / $1,346.03 / $1,432.46	Facility		$985.88	$1,346.03	$1,432.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $945.41 / $977.07 / $1,241.82	Facility		$945.41	$977.07	$1,241.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,232.00 / $1,981.00 / $10,522.00	Facility		$1,232.00	$1,981.00	$10,522.00