Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.91 / $1,492.17 / $17,100.00	Facility		$686.91	$1,492.17	$17,100.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,218.36 / $8,052.47 / $16,394.00	Facility		$2,218.36	$8,052.47	$16,394.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $2,846.84	Facility		$625.25	$761.81	$2,846.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $430.56 / $838.08 / $2,136.38	Facility		$430.56	$838.08	$2,136.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $653.25 / $1,058.09 / $1,161.78	Facility		$653.25	$1,058.09	$1,161.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.78 / $767.38 / $2,218.36	Facility		$738.78	$767.38	$2,218.36
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 $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00