Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $775.22 / $1,370.98 / $18,711.00	Facility		$775.22	$1,370.98	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,024.84 / $10,802.03 / $26,542.00	Facility		$2,024.84	$10,802.03	$26,542.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,186.71 / $2,186.71 / $3,643.05	Facility		$2,186.71	$2,186.71	$3,643.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $523.30 / $953.00 / $3,225.00	Facility		$523.30	$953.00	$3,225.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $708.82 / $999.64 / $1,166.88	Facility		$708.82	$999.64	$1,166.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $795.64 / $795.92 / $1,239.50	Facility		$795.64	$795.92	$1,239.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,004.63 / $10,795.86 / $20,663.07	Facility		$7,004.63	$10,795.86	$20,663.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00