Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.97 / $5,116.62 / $17,930.00	Facility		$293.97	$5,116.62	$17,930.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,010.16 / $10,612.45 / $20,300.41	Facility		$6,010.16	$10,612.45	$20,300.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,289.46 / $2,289.46 / $3,814.21	Facility		$2,289.46	$2,289.46	$3,814.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $199.08 / $364.19 / $5,516.87	Facility		$199.08	$364.19	$5,516.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $236.44 / $307.85 / $322.27	Facility		$236.44	$307.85	$322.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.82 / $219.82 / $1,366.31	Facility		$213.82	$219.82	$1,366.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,881.70 / $10,606.39 / $20,300.41	Facility		$6,881.70	$10,606.39	$20,300.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00