Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.03 / $5,301.90 / $18,800.00	Facility		$897.03	$5,301.90	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,966.54 / $10,166.93 / $22,484.63	Facility		$3,966.54	$10,166.93	$22,484.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $4,636.17	Facility		$714.97	$870.49	$4,636.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $520.15 / $1,039.99 / $4,065.76	Facility		$520.15	$1,039.99	$4,065.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $662.80 / $916.56 / $979.54	Facility		$662.80	$916.56	$979.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.98 / $668.13 / $3,966.54	Facility		$645.98	$668.13	$3,966.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,832.97 / $10,161.12 / $19,448.18	Facility		$6,832.97	$10,161.12	$19,448.18
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