Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $866.13 / $5,128.00 / $18,800.00	Facility		$866.13	$5,128.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$38,781.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $688.56 / $1,416.65 / $7,292.72	Facility		$688.56	$1,416.65	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $906.09 / $1,247.54 / $1,300.47	Facility		$906.09	$1,247.54	$1,300.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $852.55 / $887.04 / $6,526.97	Facility		$852.55	$887.04	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,793.48 / $20,262.22 / $38,781.51	Facility		$14,793.48	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $4,016.00 / $24,764.99 / $40,868.01	Facility		$4,016.00	$24,764.99	$40,868.01