Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.34 / $5,128.00 / $25,541.68	Facility		$864.34	$5,128.00	$25,541.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,513.62 / $16,547.20 / $26,542.00	Facility		$2,513.62	$16,547.20	$26,542.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $918.00 / $6,910.09	Facility		$714.97	$918.00	$6,910.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $672.75 / $1,270.79 / $6,320.69	Facility		$672.75	$1,270.79	$6,320.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $862.50 / $1,124.26 / $1,196.11	Facility		$862.50	$1,124.26	$1,196.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.90 / $904.15 / $3,953.90	Facility		$800.90	$904.15	$3,953.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,595.73 / $31,745.76	Facility		$10,761.59	$16,595.73	$31,745.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,038.00 / $10,522.00	Facility		$1,100.00	$2,038.00	$10,522.00