Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.00 / $5,128.00 / $18,800.00	Facility		$801.00	$5,128.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,650.51 / $9,529.73 / $17,279.07	Facility		$5,650.51	$9,529.73	$17,279.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,139.29 / $5,139.29 / $5,139.29	Facility		$5,139.29	$5,139.29	$5,139.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $642.71 / $1,115.30 / $5,715.32	Facility		$642.71	$1,115.30	$5,715.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.10 / $913.93 / $988.72	Facility		$724.10	$913.93	$988.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $655.80 / $655.80 / $658.66	Facility		$655.80	$655.80	$658.66
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