Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.20 / $7,863.94 / $18,711.00	Facility		$715.20	$7,863.94	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,834.57 / $8,052.47 / $20,834.14	Facility		$4,834.57	$8,052.47	$20,834.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,708.80 / $1,708.80 / $2,846.84	Facility		$1,708.80	$1,708.80	$2,846.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $686.25 / $1,196.58 / $6,008.05	Facility		$686.25	$1,196.58	$6,008.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $682.51 / $1,090.08 / $1,149.05	Facility		$682.51	$1,090.08	$1,149.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $763.76 / $783.76 / $1,048.55	Facility		$763.76	$783.76	$1,048.55
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 $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00