Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.92 / $5,128.00 / $20,680.40	Facility		$887.92	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,490.98 / $9,167.59 / $17,907.41	Facility		$5,490.98	$9,167.59	$17,907.41
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 $490.24 / $1,004.41 / $3,280.24	Facility		$490.24	$1,004.41	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $657.09 / $897.80 / $972.17	Facility		$657.09	$897.80	$972.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $638.73 / $663.11 / $2,961.46	Facility		$638.73	$663.11	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,013.44 / $9,167.59 / $17,546.59	Facility		$6,013.44	$9,167.59	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00