Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $978.72 / $5,128.00 / $21,050.67	Facility		$978.72	$5,128.00	$21,050.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,790.56 / $7,929.30 / $26,542.00	Facility		$1,790.56	$7,929.30	$26,542.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $3,311.26	Facility		$883.20	$1,075.31	$3,311.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $588.48 / $1,091.84 / $3,028.83	Facility		$588.48	$1,091.84	$3,028.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $737.94 / $1,009.02 / $1,079.36	Facility		$737.94	$1,009.02	$1,079.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $714.83 / $1,208.98 / $1,915.04	Facility		$714.83	$1,208.98	$1,915.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,324.56 / $7,956.97 / $15,220.78	Facility		$5,324.56	$7,956.97	$15,220.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,038.00 / $9,506.99 / $14,042.73	Facility		$2,038.00	$9,506.99	$14,042.73