Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.39 / $5,128.00 / $22,024.00	Facility		$482.39	$5,128.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,556.78 / $18,120.00 / $26,542.00	Facility		$5,556.78	$18,120.00	$26,542.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,877.15 / $2,285.42 / $10,444.70	Facility		$1,877.15	$2,285.42	$10,444.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $319.39 / $606.27 / $9,159.66	Facility		$319.39	$606.27	$9,159.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $405.14 / $512.33 / $544.45	Facility		$405.14	$512.33	$544.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.89 / $1,679.99 / $6,068.38	Facility		$352.89	$1,679.99	$6,068.38
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 $1,300.00 / $2,759.00 / $11,941.00	Facility		$1,300.00	$2,759.00	$11,941.00