Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.48 / $4,500.00 / $20,773.04	Facility		$966.48	$4,500.00	$20,773.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,886.41 / $16,351.48 / $31,278.54	Facility		$9,886.41	$16,351.48	$31,278.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,066.66 / $4,066.66 / $6,775.01	Facility		$4,066.66	$4,066.66	$6,775.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $654.78 / $1,118.86 / $12,766.31	Facility		$654.78	$1,118.86	$12,766.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $723.84 / $996.29 / $1,059.27	Facility		$723.84	$996.29	$1,059.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $702.60 / $722.52 / $2,429.53	Facility		$702.60	$722.52	$2,429.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,684.88 / $16,342.14 / $31,278.54	Facility		$10,684.88	$16,342.14	$31,278.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $4,686.00 / $20,708.00	Facility		$3,028.00	$4,686.00	$20,708.00