Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $820.64 / $5,116.62 / $20,680.40	Facility		$820.64	$5,116.62	$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 $844.95 / $1,429.72 / $5,715.32	Facility		$844.95	$1,429.72	$5,715.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $929.63 / $1,202.42 / $1,284.52	Facility		$929.63	$1,202.42	$1,284.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $855.72 / $855.72 / $857.79	Facility		$855.72	$855.72	$857.79
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