Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.21 / $1,577.59 / $18,711.00	Facility		$765.21	$1,577.59	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,968.16 / $9,172.83 / $20,286.13	Facility		$1,968.16	$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 $499.79 / $937.41 / $2,806.97	Facility		$499.79	$937.41	$2,806.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.40 / $1,100.14 / $1,165.13	Facility		$758.40	$1,100.14	$1,165.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $774.18 / $794.72 / $2,961.46	Facility		$774.18	$794.72	$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