Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.62 / $2,742.45 / $17,930.00	Facility		$521.62	$2,742.45	$17,930.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,645.20 / $9,032.98 / $23,371.01	Facility		$1,645.20	$9,032.98	$23,371.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,763.00 / $3,763.00 / $3,763.00	Facility		$3,763.00	$3,763.00	$3,763.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $454.53 / $1,563.06 / $2,923.63	Facility		$454.53	$1,563.06	$2,923.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $568.16 / $1,640.03 / $2,048.80	Facility		$568.16	$1,640.03	$2,048.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,175.40 / $1,175.40 / $1,243.94	Facility		$1,175.40	$1,175.40	$1,243.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,484.59 / $9,027.82 / $17,279.07	Facility		$6,484.59	$9,027.82	$17,279.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,428.00 / $2,854.00 / $11,941.00	Facility		$2,428.00	$2,854.00	$11,941.00