Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.53 / $1,572.12 / $17,100.00	Facility		$859.53	$1,572.12	$17,100.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,012.26 / $9,124.02 / $17,453.22	Facility		$4,012.26	$9,124.02	$17,453.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,982.56 / $1,982.56 / $3,302.92	Facility		$1,982.56	$1,982.56	$3,302.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $611.94 / $1,112.33 / $2,793.98	Facility		$611.94	$1,112.33	$2,793.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $827.53 / $1,144.35 / $1,245.53	Facility		$827.53	$1,144.35	$1,245.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $828.54 / $849.56 / $1,140.42	Facility		$828.54	$849.56	$1,140.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,101.25 / $17,453.22	Facility		$5,916.52	$9,101.25	$17,453.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00