Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,250.36 / $11,008.06 / $18,711.00	Facility		$1,250.36	$11,008.06	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,407.38 / $9,172.83 / $20,286.13	Facility		$3,407.38	$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 $702.96 / $1,427.65 / $3,280.24	Facility		$702.96	$1,427.65	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $944.23 / $1,273.00 / $1,372.16	Facility		$944.23	$1,273.00	$1,372.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $901.92 / $935.94 / $2,961.46	Facility		$901.92	$935.94	$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