Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $874.63 / $5,128.00 / $20,680.40	Facility		$874.63	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,674.32 / $11,128.70 / $21,287.95	Facility		$6,674.32	$11,128.70	$21,287.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,627.88 / $4,627.88 / $4,627.88	Facility		$4,627.88	$4,627.88	$4,627.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $646.80 / $1,106.24 / $5,715.32	Facility		$646.80	$1,106.24	$5,715.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $743.33 / $914.76 / $993.48	Facility		$743.33	$914.76	$993.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $650.96 / $650.96 / $652.60	Facility		$650.96	$650.96	$652.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,216.46 / $10,881.75 / $21,287.95	Facility		$7,216.46	$10,881.75	$21,287.95
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