Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $6,470.00 / $20,680.40	Facility		$988.00	$6,470.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,526.72 / $9,167.59 / $17,907.41	Facility		$4,526.72	$9,167.59	$17,907.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $3,740.43	Facility		$883.20	$1,075.31	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $650.19 / $1,317.84 / $3,280.24	Facility		$650.19	$1,317.84	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $857.28 / $1,151.73 / $1,240.17	Facility		$857.28	$1,151.73	$1,240.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $813.14 / $845.91 / $2,961.46	Facility		$813.14	$845.91	$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 / $2,769.18 / $10,522.00	Facility		$1,547.00	$2,769.18	$10,522.00