Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.84 / $4,500.00 / $18,711.00	Facility		$690.84	$4,500.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,218.36 / $8,052.47 / $16,394.00	Facility		$2,218.36	$8,052.47	$16,394.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $2,846.84	Facility		$625.25	$761.81	$2,846.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $385.49 / $786.72 / $2,496.58	Facility		$385.49	$786.72	$2,496.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $503.72 / $690.10 / $755.76	Facility		$503.72	$690.10	$755.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $494.68 / $515.50 / $2,218.36	Facility		$494.68	$515.50	$2,218.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
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