Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $823.69 / $5,132.00 / $22,024.00	Facility		$823.69	$5,132.00	$22,024.00
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 $1,005.16 / $1,223.70 / $3,740.43	Facility		$1,005.16	$1,223.70	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $424.56 / $885.22 / $3,280.24	Facility		$424.56	$885.22	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $585.76 / $810.03 / $901.82	Facility		$585.76	$810.03	$901.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $589.80 / $615.12 / $2,961.46	Facility		$589.80	$615.12	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,167.59 / $17,546.59	Facility		$6,693.27	$9,167.59	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,769.18 / $3,478.00 / $16,315.00	Facility		$2,769.18	$3,478.00	$16,315.00