Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.94 / $4,425.00 / $21,917.86	Facility		$785.94	$4,425.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $36,469.56 / $71,345.31	Facility		$11,500.00	$36,469.56	$71,345.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $20,164.79	Facility		$883.20	$1,075.31	$20,164.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $652.45 / $1,339.27 / $15,998.04	Facility		$652.45	$1,339.27	$15,998.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $860.93 / $1,179.86 / $1,251.56	Facility		$860.93	$1,179.86	$1,251.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $817.21 / $853.68 / $19,211.20	Facility		$817.21	$853.68	$19,211.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,749.60 / $37,275.87 / $71,345.31	Facility		$24,749.60	$37,275.87	$71,345.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00