Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.45 / $7,489.85 / $18,800.00	Facility		$793.45	$7,489.85	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,264.85 / $8,047.87 / $15,720.23	Facility		$3,264.85	$8,047.87	$15,720.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,846.84	Facility		$714.97	$870.49	$2,846.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $587.52 / $1,272.89 / $2,496.58	Facility		$587.52	$1,272.89	$2,496.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $736.23 / $1,197.96 / $1,268.98	Facility		$736.23	$1,197.96	$1,268.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.78 / $839.86 / $2,218.36	Facility		$738.78	$839.86	$2,218.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00