Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.17 / $1,451.76 / $18,711.00	Facility		$639.17	$1,451.76	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,627.28 / $19,823.93 / $38,781.51	Facility		$1,627.28	$19,823.93	$38,781.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $440.52 / $813.12 / $6,166.72	Facility		$440.52	$813.12	$6,166.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $613.45 / $1,000.19 / $1,044.48	Facility		$613.45	$1,000.19	$1,044.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $690.83 / $696.01 / $6,526.97	Facility		$690.83	$696.01	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,546.63 / $20,262.22 / $38,781.51	Facility		$12,546.63	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,471.00 / $2,431.00 / $10,522.00	Facility		$1,471.00	$2,431.00	$10,522.00