Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.39 / $6,259.76 / $17,100.00	Facility		$457.39	$6,259.76	$17,100.00
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 $313.63 / $565.54 / $7,196.96	Facility		$313.63	$565.54	$7,196.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $376.81 / $483.40 / $520.88	Facility		$376.81	$483.40	$520.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.39 / $340.01 / $1,366.31	Facility		$338.39	$340.01	$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 $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00