Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.12 / $5,730.00 / $15,138.29	Facility		$717.12	$5,730.00	$15,138.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,689.02 / $8,576.15 / $16,394.00	Facility		$1,689.02	$8,576.15	$16,394.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,302.92	Facility		$625.25	$761.81	$3,302.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $584.62 / $1,148.96 / $3,021.20	Facility		$584.62	$1,148.96	$3,021.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $761.46 / $1,005.00 / $1,049.22	Facility		$761.46	$1,005.00	$1,049.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.73 / $904.15 / $1,781.59	Facility		$691.73	$904.15	$1,781.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,118.81 / $17,453.22	Facility		$5,916.52	$9,118.81	$17,453.22
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