Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $818.95 / $1,863.05 / $22,024.00	Facility		$818.95	$1,863.05	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $889.78 / $18,220.34 / $35,644.43	Facility		$889.78	$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 $634.54 / $1,314.09 / $1,801.47	Facility		$634.54	$1,314.09	$1,801.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $960.28 / $1,248.03 / $1,304.49	Facility		$960.28	$1,248.03	$1,304.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.20 / $875.20 / $889.78	Facility		$875.20	$875.20	$889.78
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