Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.25 / $2,550.00 / $20,965.00	Facility		$759.25	$2,550.00	$20,965.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,948.80 / $9,167.59 / $17,907.41	Facility		$1,948.80	$9,167.59	$17,907.41
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 $502.66 / $942.79 / $2,824.57	Facility		$502.66	$942.79	$2,824.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $674.00 / $1,100.14 / $1,125.59	Facility		$674.00	$1,100.14	$1,125.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $747.90 / $767.76 / $2,961.46	Facility		$747.90	$767.76	$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