Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $971.38 / $5,128.00 / $21,917.86	Facility		$971.38	$5,128.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $725.72 / $8,231.65 / $16,103.56	Facility		$725.72	$8,231.65	$16,103.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $545.16 / $1,074.15 / $1,472.38	Facility		$545.16	$1,074.15	$1,472.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $767.83 / $1,033.14 / $1,063.96	Facility		$767.83	$1,033.14	$1,063.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.13 / $707.13 / $725.72	Facility		$707.13	$707.13	$725.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,430.39 / $8,418.45 / $16,103.56	Facility		$6,430.39	$8,418.45	$16,103.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00