Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,178.26 / $4,011.00 / $18,711.00	Facility		$1,178.26	$4,011.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,555.68 / $19,056.41 / $38,781.51	Facility		$5,555.68	$19,056.41	$38,781.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $8,315.84	Facility		$625.25	$761.81	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $671.26 / $1,363.40 / $6,675.67	Facility		$671.26	$1,363.40	$6,675.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $886.64 / $1,206.67 / $1,291.76	Facility		$886.64	$1,206.67	$1,291.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $852.09 / $881.10 / $6,526.97	Facility		$852.09	$881.10	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
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