Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.09 / $5,116.62 / $22,024.00	Facility		$800.09	$5,116.62	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,490.98 / $9,172.83 / $17,907.41	Facility		$5,490.98	$9,172.83	$17,907.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $3,740.43	Facility		$1,005.16	$1,223.70	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $644.23 / $1,305.83 / $3,280.24	Facility		$644.23	$1,305.83	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $857.99 / $1,171.83 / $1,265.63	Facility		$857.99	$1,171.83	$1,265.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $837.14 / $863.27 / $2,961.46	Facility		$837.14	$863.27	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,006.61 / $9,172.83 / $17,546.59	Facility		$7,006.61	$9,172.83	$17,546.59
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