Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $946.77 / $3,925.18 / $18,711.00	Facility		$946.77	$3,925.18	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $17,546.59	Facility		$2,961.46	$9,172.83	$17,546.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,740.43	Facility		$625.25	$761.81	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $527.22 / $1,076.68 / $3,280.24	Facility		$527.22	$1,076.68	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $718.83 / $984.23 / $1,037.16	Facility		$718.83	$984.23	$1,037.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.28 / $707.44 / $2,961.46	Facility		$691.28	$707.44	$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 $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00