Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.80 / $5,128.00 / $20,680.40	Facility		$945.80	$5,128.00	$20,680.40
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 $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 $556.04 / $1,112.90 / $3,280.24	Facility		$556.04	$1,112.90	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $715.56 / $960.78 / $1,035.15	Facility		$715.56	$960.78	$1,035.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $680.41 / $706.07 / $2,961.46	Facility		$680.41	$706.07	$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