Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $892.90 / $1,856.95 / $22,024.00	Facility		$892.90	$1,856.95	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $974.78 / $18,220.34 / $35,644.43	Facility		$974.78	$18,220.34	$35,644.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $694.05 / $1,438.24 / $1,968.25	Facility		$694.05	$1,438.24	$1,968.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,031.45 / $1,364.54 / $1,430.04	Facility		$1,031.45	$1,364.54	$1,430.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $961.72 / $961.72 / $974.78	Facility		$961.72	$961.72	$974.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,233.34 / $18,633.84 / $35,644.43	Facility		$14,233.34	$18,633.84	$35,644.43
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00