Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.43 / $5,128.00 / $21,917.86	Facility		$1,004.43	$5,128.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $749.94 / $8,957.00 / $17,546.59	Facility		$749.94	$8,957.00	$17,546.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $3,740.43	Facility		$765.00	$870.49	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $555.92 / $1,139.13 / $3,280.24	Facility		$555.92	$1,139.13	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $756.07 / $1,033.14 / $1,099.47	Facility		$756.07	$1,033.14	$1,099.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $722.99 / $749.94 / $2,961.46	Facility		$722.99	$749.94	$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