Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.68 / $5,128.00 / $21,917.86	Facility		$895.68	$5,128.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,185.98 / $9,172.83 / $20,286.13	Facility		$3,185.98	$9,172.83	$20,286.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $3,740.43	Facility		$883.20	$1,075.31	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $502.42 / $1,019.85 / $3,280.24	Facility		$502.42	$1,019.85	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $669.34 / $917.90 / $982.89	Facility		$669.34	$917.90	$982.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $640.09 / $670.42 / $2,961.46	Facility		$640.09	$670.42	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,167.59 / $17,546.59	Facility		$6,693.27	$9,167.59	$17,546.59
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