Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $822.91 / $5,128.00 / $22,024.00	Facility		$822.91	$5,128.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$38,781.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $486.91 / $973.53 / $6,597.50	Facility		$486.91	$973.53	$6,597.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $643.41 / $854.25 / $909.86	Facility		$643.41	$854.25	$909.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $594.79 / $620.61 / $6,526.97	Facility		$594.79	$620.61	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00