Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.62 / $5,132.00 / $22,024.00	Facility		$850.62	$5,132.00	$22,024.00
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 $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 $478.93 / $978.90 / $3,280.24	Facility		$478.93	$978.90	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $641.90 / $875.69 / $931.30	Facility		$641.90	$875.69	$931.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $615.63 / $635.23 / $2,961.46	Facility		$615.63	$635.23	$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 $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00