Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.28 / $1,665.59 / $17,100.00	Facility		$649.28	$1,665.59	$17,100.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,622.48 / $9,172.83 / $17,546.59	Facility		$1,622.48	$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 $482.98 / $905.88 / $2,806.97	Facility		$482.98	$905.88	$2,806.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $720.38 / $1,027.36 / $1,222.75	Facility		$720.38	$1,027.36	$1,222.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $727.09 / $742.92 / $4,368.10	Facility		$727.09	$742.92	$4,368.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00