Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $937.62 / $5,128.00 / $24,827.00	Facility		$937.62	$5,128.00	$24,827.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $17,907.41	Facility		$2,961.46	$9,172.83	$17,907.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.89 / $1,698.13 / $3,740.43	Facility		$1,394.89	$1,698.13	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $532.24 / $1,079.71 / $3,280.24	Facility		$532.24	$1,079.71	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $692.84 / $958.10 / $1,025.77	Facility		$692.84	$958.10	$1,025.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $675.42 / $699.67 / $2,961.46	Facility		$675.42	$699.67	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,443.89	Facility		$5,948.17	$9,167.59	$17,443.89
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