Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.12 / $5,116.62 / $18,711.00	Facility		$624.12	$5,116.62	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,327.80 / $5,521.03 / $13,370.99	Facility		$3,327.80	$5,521.03	$13,370.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,323.83 / $2,323.83 / $2,323.83	Facility		$2,323.83	$2,323.83	$2,323.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $461.87 / $780.29 / $4,326.97	Facility		$461.87	$780.29	$4,326.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $494.90 / $654.19 / $690.88	Facility		$494.90	$654.19	$690.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $460.25 / $460.25 / $465.23	Facility		$460.25	$460.25	$465.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,351.17 / $5,167.93 / $9,885.68	Facility		$3,351.17	$5,167.93	$9,885.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,658.66 / $6,412.34 / $10,464.70	Facility		$1,658.66	$6,412.34	$10,464.70