Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.63 / $3,925.18 / $18,711.00	Facility		$406.63	$3,925.18	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,296.15 / $18,180.43 / $37,102.31	Facility		$11,296.15	$18,180.43	$37,102.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,448.94 / $3,448.94 / $5,745.89	Facility		$3,448.94	$3,448.94	$5,745.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $277.98 / $502.91 / $7,196.96	Facility		$277.98	$502.91	$7,196.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.10 / $433.00 / $464.44	Facility		$338.10	$433.00	$464.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.43 / $302.99 / $2,096.73	Facility		$299.43	$302.99	$2,096.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,577.42 / $19,384.89 / $37,102.31	Facility		$12,577.42	$19,384.89	$37,102.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00