Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $878.26 / $4,425.00 / $20,680.40	Facility		$878.26	$4,425.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,202.56 / $9,172.83 / $20,286.13	Facility		$4,202.56	$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 $655.14 / $1,327.53 / $3,280.24	Facility		$655.14	$1,327.53	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $863.74 / $1,184.56 / $1,262.28	Facility		$863.74	$1,184.56	$1,262.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $836.24 / $860.99 / $2,961.46	Facility		$836.24	$860.99	$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 $1,950.00 / $3,492.00 / $11,941.00	Facility		$1,950.00	$3,492.00	$11,941.00