Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.85 / $6,470.00 / $18,800.00	Facility		$559.85	$6,470.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,650.51 / $9,032.98 / $17,279.07	Facility		$5,650.51	$9,032.98	$17,279.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,763.00 / $3,763.00 / $3,763.00	Facility		$3,763.00	$3,763.00	$3,763.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $404.02 / $696.34 / $5,715.32	Facility		$404.02	$696.34	$5,715.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $440.02 / $587.30 / $623.55	Facility		$440.02	$587.30	$623.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $415.40 / $415.40 / $419.07	Facility		$415.40	$415.40	$419.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,857.48 / $9,027.82 / $17,279.07	Facility		$5,857.48	$9,027.82	$17,279.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,594.00 / $12,835.00	Facility		$2,155.00	$6,594.00	$12,835.00