Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.05 / $4,500.00 / $18,711.00	Facility		$834.05	$4,500.00	$18,711.00
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 $608.13 / $1,259.09 / $3,280.24	Facility		$608.13	$1,259.09	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $799.00 / $1,086.74 / $1,231.46	Facility		$799.00	$1,086.74	$1,231.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $839.41 / $839.97 / $2,961.46	Facility		$839.41	$839.97	$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 / $2,769.18 / $6,857.00	Facility		$702.00	$2,769.18	$6,857.00