Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.15 / $5,957.50 / $27,529.07	Facility		$510.15	$5,957.50	$27,529.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,933.00 / $55,218.92 / $105,627.56	Facility		$11,933.00	$55,218.92	$105,627.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31,318.94 / $31,318.94 / $31,318.94	Facility		$31,318.94	$31,318.94	$31,318.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $499.22 / $884.83 / $27,465.68	Facility		$499.22	$884.83	$27,465.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $547.33 / $704.22 / $751.40	Facility		$547.33	$704.22	$751.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $503.16 / $503.16 / $503.74	Facility		$503.16	$503.16	$503.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36,105.83 / $55,218.92 / $105,627.56	Facility		$36,105.83	$55,218.92	$105,627.56
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