Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $898.26 / $4,434.75 / $18,711.00	Facility		$898.26	$4,434.75	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $17,546.59	Facility		$2,961.46	$9,172.83	$17,546.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,740.43	Facility		$625.25	$761.81	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $665.89 / $1,358.40 / $3,280.24	Facility		$665.89	$1,358.40	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $865.32 / $1,196.61 / $1,285.73	Facility		$865.32	$1,196.61	$1,285.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $849.83 / $876.98 / $2,961.46	Facility		$849.83	$876.98	$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