Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $12,214.00 / $32,045.80	Facility		$988.00	$12,214.00	$32,045.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,954.95 / $21,054.96 / $27,396.88	Facility		$10,954.95	$21,054.96	$27,396.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $10,725.15	Facility		$883.20	$1,075.31	$10,725.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $565.82 / $1,163.98 / $9,405.60	Facility		$565.82	$1,163.98	$9,405.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $753.88 / $1,042.52 / $1,148.38	Facility		$753.88	$1,042.52	$1,148.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $754.25 / $783.30 / $8,781.95	Facility		$754.25	$783.30	$8,781.95
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 $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00