Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.59 / $4,916.79 / $21,052.91	Facility		$662.59	$4,916.79	$21,052.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,173.66 / $29,526.26 / $71,345.31	Facility		$2,173.66	$29,526.26	$71,345.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $15,711.66	Facility		$714.97	$870.49	$15,711.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $478.62 / $4,253.85 / $11,790.66	Facility		$478.62	$4,253.85	$11,790.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $715.92 / $6,189.75 / $7,369.84	Facility		$715.92	$6,189.75	$7,369.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,173.66 / $4,702.99 / $6,526.97	Facility		$2,173.66	$4,702.99	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,838.07 / $35,057.57 / $71,345.31	Facility		$15,838.07	$35,057.57	$71,345.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00