Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $890.84 / $5,128.00 / $20,680.40	Facility		$890.84	$5,128.00	$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 $504.60 / $1,022.97 / $3,280.24	Facility		$504.60	$1,022.97	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $666.54 / $902.54 / $973.51	Facility		$666.54	$902.54	$973.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $644.16 / $664.02 / $2,961.46	Facility		$644.16	$664.02	$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