Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.41 / $5,128.00 / $18,800.00	Facility		$580.41	$5,128.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15,816.01 / $26,112.70 / $46,054.28	Facility		$15,816.01	$26,112.70	$46,054.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,441.69 / $15,441.69 / $15,441.69	Facility		$15,441.69	$15,441.69	$15,441.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $442.29 / $762.95 / $24,031.53	Facility		$442.29	$762.95	$24,031.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $491.84 / $618.79 / $677.96	Facility		$491.84	$618.79	$677.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $433.07 / $433.07 / $436.44	Facility		$433.07	$433.07	$436.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,567.73 / $24,075.80 / $46,054.28	Facility		$17,567.73	$24,075.80	$46,054.28
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