Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $853.90 / $4,011.00 / $18,711.00	Facility		$853.90	$4,011.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,126.02 / $10,802.03 / $20,663.07	Facility		$6,126.02	$10,802.03	$20,663.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,186.71 / $2,186.71 / $3,643.05	Facility		$2,186.71	$2,186.71	$3,643.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $573.62 / $960.24 / $6,300.19	Facility		$573.62	$960.24	$6,300.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $624.52 / $863.63 / $951.40	Facility		$624.52	$863.63	$951.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $624.69 / $648.94 / $1,239.50	Facility		$624.69	$648.94	$1,239.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,004.63 / $10,795.86 / $20,663.07	Facility		$7,004.63	$10,795.86	$20,663.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00