Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.95 / $4,011.00 / $18,711.00	Facility		$768.95	$4,011.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,330.16 / $8,921.56 / $17,453.22	Facility		$1,330.16	$8,921.56	$17,453.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $906.00 / $3,302.92	Facility		$564.00	$906.00	$3,302.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,209.17 / $3,021.20	Facility		$711.00	$1,209.17	$3,021.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $808.01 / $1,067.31 / $1,117.56	Facility		$808.01	$1,067.31	$1,117.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $739.75 / $762.28 / $1,330.16	Facility		$739.75	$762.28	$1,330.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,101.25 / $17,453.22	Facility		$5,916.52	$9,101.25	$17,453.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,232.00 / $1,981.00 / $10,522.00	Facility		$1,232.00	$1,981.00	$10,522.00