Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $961.90 / $6,470.00 / $20,680.40	Facility		$961.90	$6,470.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $20,286.13	Facility		$2,961.46	$9,172.83	$20,286.13
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 $536.35 / $1,087.22 / $3,280.24	Facility		$536.35	$1,087.22	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $713.44 / $974.85 / $1,048.55	Facility		$713.44	$974.85	$1,048.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $689.47 / $715.21 / $2,961.46	Facility		$689.47	$715.21	$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