Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.97 / $5,128.00 / $20,680.40	Facility		$848.97	$5,128.00	$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 $485.02 / $982.92 / $3,280.24	Facility		$485.02	$982.92	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $635.66 / $879.04 / $933.31	Facility		$635.66	$879.04	$933.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $613.36 / $636.60 / $2,961.46	Facility		$613.36	$636.60	$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 $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00