Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $881.73 / $4,500.00 / $18,800.00	Facility		$881.73	$4,500.00	$18,800.00
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 $650.76 / $1,321.68 / $3,280.24	Facility		$650.76	$1,321.68	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $862.89 / $1,182.55 / $1,267.64	Facility		$862.89	$1,182.55	$1,267.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $832.16 / $864.64 / $2,961.46	Facility		$832.16	$864.64	$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 $3,129.00 / $11,604.61 / $18,561.84	Facility		$3,129.00	$11,604.61	$18,561.84