Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.00 / $3,016.00 / $18,711.00	Facility		$699.00	$3,016.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,944.47 / $15,338.55 / $21,337.39	Facility		$2,944.47	$15,338.55	$21,337.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $6,405.36	Facility		$625.25	$761.81	$6,405.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $532.14 / $1,115.58 / $5,841.39	Facility		$532.14	$1,115.58	$5,841.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $699.05 / $827.49 / $1,000.40	Facility		$699.05	$827.49	$1,000.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $574.86 / $1,107.43 / $3,525.62	Facility		$574.86	$1,107.43	$3,525.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,473.20 / $16,151.01 / $30,895.07	Facility		$10,473.20	$16,151.01	$30,895.07
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