Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $919.94 / $4,011.00 / $18,711.00	Facility		$919.94	$4,011.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $17,546.59	Facility		$2,961.46	$9,172.83	$17,546.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,740.43	Facility		$625.25	$761.81	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $517.65 / $1,052.75 / $3,280.24	Facility		$517.65	$1,052.75	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $689.44 / $945.37 / $1,007.68	Facility		$689.44	$945.37	$1,007.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $662.74 / $687.33 / $2,961.46	Facility		$662.74	$687.33	$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 $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00