Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.46 / $5,128.00 / $21,917.86	Facility		$639.46	$5,128.00	$21,917.86
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 $883.20 / $1,075.31 / $3,740.43	Facility		$883.20	$1,075.31	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $331.90 / $691.65 / $3,280.24	Facility		$331.90	$691.65	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $461.24 / $643.45 / $698.81	Facility		$461.24	$643.45	$698.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.08 / $476.65 / $2,961.46	Facility		$457.08	$476.65	$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 $555.00 / $1,681.00 / $6,857.00	Facility		$555.00	$1,681.00	$6,857.00