Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.23 / $6,470.00 / $18,800.00	Facility		$387.23	$6,470.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,010.16 / $10,612.45 / $26,542.00	Facility		$6,010.16	$10,612.45	$26,542.00
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 $262.08 / $479.23 / $5,516.87	Facility		$262.08	$479.23	$5,516.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.82 / $406.69 / $425.36	Facility		$302.82	$406.69	$425.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.95 / $287.45 / $1,366.31	Facility		$279.95	$287.45	$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 $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00