Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,769.52 / $18,711.00	Facility		$521.00	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $444.39 / $9,011.04 / $17,279.07	Facility		$444.39	$9,011.04	$17,279.07
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 $474.17 / $832.27 / $3,300.02	Facility		$474.17	$832.27	$3,300.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $500.82 / $632.85 / $692.11	Facility		$500.82	$632.85	$692.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $444.39 / $444.39 / $449.23	Facility		$444.39	$444.39	$449.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,857.48 / $9,027.82 / $17,279.07	Facility		$5,857.48	$9,027.82	$17,279.07
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