Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.79 / $2,558.34 / $17,930.00	Facility		$657.79	$2,558.34	$17,930.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,072.10 / $15,573.20 / $29,789.77	Facility		$2,072.10	$15,573.20	$29,789.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,128.48 / $7,128.48 / $7,128.48	Facility		$7,128.48	$7,128.48	$7,128.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $576.05 / $1,918.56 / $4,870.25	Facility		$576.05	$1,918.56	$4,870.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $719.41 / $2,037.11 / $2,505.13	Facility		$719.41	$2,037.11	$2,505.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,476.57 / $1,476.57 / $1,580.52	Facility		$1,476.57	$1,476.57	$1,580.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,098.52 / $15,564.30 / $29,789.77	Facility		$10,098.52	$15,564.30	$29,789.77
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,540.00 / $20,708.00	Facility		$3,028.00	$11,540.00	$20,708.00