Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.00 / $5,128.00 / $20,680.40	Facility		$801.00	$5,128.00	$20,680.40
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 $577.50 / $1,151.01 / $3,280.24	Facility		$577.50	$1,151.01	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $740.50 / $1,006.34 / $1,081.38	Facility		$740.50	$1,006.34	$1,081.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $712.12 / $737.60 / $2,961.46	Facility		$712.12	$737.60	$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