Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $773.96 / $4,500.00 / $20,680.40	Facility		$773.96	$4,500.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $28,523.91 / $40,416.10	Facility		$55.00	$28,523.91	$40,416.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $16,877.71	Facility		$500.00	$870.49	$16,877.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $489.95 / $955.40 / $14,801.20	Facility		$489.95	$955.40	$14,801.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $611.91 / $821.93 / $856.12	Facility		$611.91	$821.93	$856.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $574.40 / $1,679.99 / $8,723.54	Facility		$574.40	$1,679.99	$8,723.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,916.23 / $29,154.55 / $55,801.25	Facility		$18,916.23	$29,154.55	$55,801.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,759.00 / $11,941.00	Facility		$1,300.00	$2,759.00	$11,941.00