Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.00 / $6,470.00 / $18,800.00	Facility		$801.00	$6,470.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $741.71 / $8,957.00 / $17,546.59	Facility		$741.71	$8,957.00	$17,546.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $2,285.42 / $3,740.43	Facility		$714.97	$2,285.42	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $553.75 / $1,122.26 / $3,280.24	Facility		$553.75	$1,122.26	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $734.02 / $1,002.99 / $1,087.41	Facility		$734.02	$1,002.99	$1,087.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $715.29 / $741.71 / $2,961.46	Facility		$715.29	$741.71	$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