Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $728.14 / $5,599.09 / $18,711.00	Facility		$728.14	$5,599.09	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,429.53 / $15,369.61 / $31,278.54	Facility		$2,429.53	$15,369.61	$31,278.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,066.66 / $4,066.66 / $6,775.01	Facility		$4,066.66	$4,066.66	$6,775.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $644.49 / $4,283.06 / $9,194.37	Facility		$644.49	$4,283.06	$9,194.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.81 / $5,386.55 / $6,671.19	Facility		$676.81	$5,386.55	$6,671.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,429.53 / $4,154.13 / $4,393.64	Facility		$2,429.53	$4,154.13	$4,393.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,777.66 / $16,342.14 / $31,278.54	Facility		$11,777.66	$16,342.14	$31,278.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $4,686.00 / $20,708.00	Facility		$3,028.00	$4,686.00	$20,708.00