Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $833.43 / $2,323.00 / $18,711.00	Facility		$833.43	$2,323.00	$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 $692.41 / $1,424.98 / $3,280.24	Facility		$692.41	$1,424.98	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $924.43 / $1,250.22 / $1,311.86	Facility		$924.43	$1,250.22	$1,311.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $872.03 / $894.81 / $2,961.46	Facility		$872.03	$894.81	$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