Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.79 / $1,555.34 / $18,711.00	Facility		$760.79	$1,555.34	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,952.36 / $9,172.83 / $20,286.13	Facility		$1,952.36	$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 $494.42 / $921.42 / $2,806.97	Facility		$494.42	$921.42	$2,806.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $680.55 / $1,092.00 / $1,185.90	Facility		$680.55	$1,092.00	$1,185.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $777.80 / $808.89 / $2,961.46	Facility		$777.80	$808.89	$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