Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.55 / $3,925.18 / $18,711.00	Facility		$388.55	$3,925.18	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,296.15 / $18,965.58 / $37,102.31	Facility		$11,296.15	$18,965.58	$37,102.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,894.83 / $4,894.83 / $8,154.73	Facility		$4,894.83	$4,894.83	$8,154.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $269.49 / $491.39 / $7,459.15	Facility		$269.49	$491.39	$7,459.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $322.10 / $415.80 / $433.16	Facility		$322.10	$415.80	$433.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.66 / $289.74 / $3,166.40	Facility		$287.66	$289.74	$3,166.40
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