Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.17 / $1,589.23 / $18,711.00	Facility		$764.17	$1,589.23	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,005.24 / $9,172.83 / $20,286.13	Facility		$2,005.24	$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 $536.01 / $1,005.85 / $2,806.97	Facility		$536.01	$1,005.85	$2,806.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $809.60 / $1,106.89 / $1,160.08	Facility		$809.60	$1,106.89	$1,160.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $772.82 / $779.64 / $2,961.46	Facility		$772.82	$779.64	$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 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00