Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.85 / $5,792.69 / $24,827.00	Facility		$590.85	$5,792.69	$24,827.00
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 $1,394.89 / $1,698.13 / $3,740.43	Facility		$1,394.89	$1,698.13	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $467.19 / $960.24 / $3,280.24	Facility		$467.19	$960.24	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $625.77 / $859.61 / $935.32	Facility		$625.77	$859.61	$935.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $613.82 / $637.97 / $2,961.46	Facility		$613.82	$637.97	$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