Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.25 / $3,925.18 / $18,711.00	Facility		$860.25	$3,925.18	$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 $582.54 / $1,004.12 / $6,300.19	Facility		$582.54	$1,004.12	$6,300.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $648.26 / $896.46 / $945.37	Facility		$648.26	$896.46	$945.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $627.86 / $644.83 / $1,239.50	Facility		$627.86	$644.83	$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 $5,519.00 / $13,695.73 / $21,906.64	Facility		$5,519.00	$13,695.73	$21,906.64