Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.33 / $4,213.29 / $17,930.00	Facility		$363.33	$4,213.29	$17,930.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,032.15 / $4,809.85 / $12,444.54	Facility		$3,032.15	$4,809.85	$12,444.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,126.23 / $1,126.23 / $1,876.28	Facility		$1,126.23	$1,126.23	$1,876.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $246.12 / $448.90 / $4,829.01	Facility		$246.12	$448.90	$4,829.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $289.25 / $382.57 / $397.31	Facility		$289.25	$382.57	$397.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $264.55 / $271.00 / $676.20	Facility		$264.55	$271.00	$676.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,509.68 / $4,807.10 / $9,200.71	Facility		$3,509.68	$4,807.10	$9,200.71
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00