Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.21 / $2,818.00 / $11,522.02	Facility		$168.21	$2,818.00	$11,522.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,727.91 / $4,538.57 / $11,742.64	Facility		$2,727.91	$4,538.57	$11,742.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,497.91 / $1,497.91 / $1,497.91	Facility		$1,497.91	$1,497.91	$1,497.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $133.52 / $340.71 / $1,436.16	Facility		$133.52	$340.71	$1,436.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $153.44 / $186.32 / $475.70	Facility		$153.44	$186.32	$475.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.12 / $124.12 / $127.50	Facility		$124.12	$124.12	$127.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,943.06 / $4,535.97 / $8,681.78	Facility		$2,943.06	$4,535.97	$8,681.78
United Facility/Professional Facility Modifier Low / Median / High Price $648.00 / $1,875.00 / $4,911.00	Facility		$648.00	$1,875.00	$4,911.00