Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.92 / $1,594.20 / $22,024.00	Facility		$794.92	$1,594.20	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,029.52 / $19,823.93 / $38,781.51	Facility		$2,029.52	$19,823.93	$38,781.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $11,207.31	Facility		$714.97	$870.49	$11,207.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $522.01 / $990.90 / $7,085.09	Facility		$522.01	$990.90	$7,085.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $771.34 / $1,145.70 / $1,200.64	Facility		$771.34	$1,145.70	$1,200.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $796.37 / $818.94 / $8,452.09	Facility		$796.37	$818.94	$8,452.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
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