Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $960.88 / $5,128.00 / $20,680.40	Facility		$960.88	$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 $548.53 / $1,110.58 / $3,280.24	Facility		$548.53	$1,110.58	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $725.69 / $991.60 / $1,053.24	Facility		$725.69	$991.60	$1,053.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $694.00 / $718.40 / $2,961.46	Facility		$694.00	$718.40	$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