Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.94 / $4,500.00 / $22,024.00	Facility		$681.94	$4,500.00	$22,024.00
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 $566.15 / $1,151.01 / $3,280.24	Facility		$566.15	$1,151.01	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $736.47 / $1,005.67 / $1,072.00	Facility		$736.47	$1,005.67	$1,072.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $714.38 / $731.20 / $2,961.46	Facility		$714.38	$731.20	$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 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00