Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.99 / $1,428.91 / $17,100.00	Facility		$755.99	$1,428.91	$17,100.00
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 $531.69 / $880.20 / $2,225.36	Facility		$531.69	$880.20	$2,225.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $686.25 / $1,028.31 / $1,128.95	Facility		$686.25	$1,028.31	$1,128.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $757.87 / $770.05 / $1,330.16	Facility		$757.87	$770.05	$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