Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.49 / $5,116.62 / $27,853.87	Facility		$612.49	$5,116.62	$27,853.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16,026.00 / $30,261.00 / $57,885.88	Facility		$16,026.00	$30,261.00	$57,885.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,976.06 / $17,976.06 / $17,976.06	Facility		$17,976.06	$17,976.06	$17,976.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $642.71 / $1,102.95 / $28,512.96	Facility		$642.71	$1,102.95	$28,512.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.86 / $902.74 / $992.12	Facility		$741.86	$902.74	$992.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $641.90 / $641.90 / $643.91	Facility		$641.90	$641.90	$643.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,080.98 / $30,261.00 / $57,885.88	Facility		$22,080.98	$30,261.00	$57,885.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $13,441.00 / $26,417.00	Facility		$3,340.00	$13,441.00	$26,417.00