Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.37 / $3,354.00 / $22,024.00	Facility		$799.37	$3,354.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$38,781.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $655.11 / $1,325.86 / $7,292.72	Facility		$655.11	$1,325.86	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $860.93 / $1,177.85 / $1,245.08	Facility		$860.93	$1,177.85	$1,245.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $833.11 / $835.79 / $6,526.97	Facility		$833.11	$835.79	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00