Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.94 / $1,339.55 / $18,711.00	Facility		$514.94	$1,339.55	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,918.16 / $9,172.83 / $20,286.13	Facility		$1,918.16	$9,172.83	$20,286.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $496.54 / $954.55 / $2,806.97	Facility		$496.54	$954.55	$2,806.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $754.65 / $1,124.93 / $1,161.10	Facility		$754.65	$1,124.93	$1,161.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $761.49 / $791.98 / $2,961.46	Facility		$761.49	$791.98	$2,961.46
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 / $2,769.18 / $10,522.00	Facility		$1,547.00	$2,769.18	$10,522.00