Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.70 / $3,381.33 / $17,100.00	Facility		$176.70	$3,381.33	$17,100.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,381.90 / $10,017.58 / $15,985.63	Facility		$2,381.90	$10,017.58	$15,985.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,125.47 / $4,125.47 / $5,957.76	Facility		$4,125.47	$4,125.47	$5,957.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $153.13 / $2,815.83 / $6,278.84	Facility		$153.13	$2,815.83	$6,278.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.20 / $2,583.98 / $3,444.88	Facility		$275.20	$2,583.98	$3,444.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,823.89 / $1,894.90 / $1,894.90	Facility		$1,823.89	$1,894.90	$1,894.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,504.29 / $13,114.70 / $24,940.11	Facility		$8,504.29	$13,114.70	$24,940.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,926.00 / $17,644.00	Facility		$2,912.00	$3,926.00	$17,644.00