Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.36 / $5,764.88 / $20,680.40	Facility		$875.36	$5,764.88	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $20,286.13	Facility		$2,961.46	$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 $502.86 / $1,018.80 / $3,280.24	Facility		$502.86	$1,018.80	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $665.42 / $907.85 / $955.42	Facility		$665.42	$907.85	$955.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $632.39 / $651.67 / $2,961.46	Facility		$632.39	$651.67	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,145.87 / $9,167.59 / $17,546.59	Facility		$6,145.87	$9,167.59	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $11,941.00	Facility		$2,155.00	$3,297.00	$11,941.00