Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $680.74 / $5,083.34 / $18,800.00	Facility		$680.74	$5,083.34	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,526.72 / $9,167.59 / $17,907.41	Facility		$4,526.72	$9,167.59	$17,907.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $353.65 / $729.88 / $3,280.24	Facility		$353.65	$729.88	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $485.59 / $671.34 / $745.04	Facility		$485.59	$671.34	$745.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $486.98 / $508.18 / $2,961.46	Facility		$486.98	$508.18	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
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