Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $972.68 / $4,011.00 / $18,711.00	Facility		$972.68	$4,011.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,400.95 / $19,056.41 / $38,781.51	Facility		$6,400.95	$19,056.41	$38,781.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $8,315.84	Facility		$625.25	$761.81	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $816.32 / $1,688.25 / $7,292.72	Facility		$816.32	$1,688.25	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,081.92 / $1,461.53 / $1,504.84	Facility		$1,081.92	$1,461.53	$1,504.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,002.49 / $1,011.34 / $8,442.56	Facility		$1,002.49	$1,011.34	$8,442.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,546.63 / $20,262.22 / $38,781.51	Facility		$12,546.63	$20,262.22	$38,781.51
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