Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.30 / $7,873.28 / $16,980.00	Facility		$893.30	$7,873.28	$16,980.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,641.35 / $7,929.30 / $26,542.00	Facility		$1,641.35	$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 $512.64 / $980.20 / $3,028.83	Facility		$512.64	$980.20	$3,028.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $681.89 / $905.84 / $973.51	Facility		$681.89	$905.84	$973.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $650.05 / $929.09 / $1,915.04	Facility		$650.05	$929.09	$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 $1,100.00 / $2,038.00 / $10,522.00	Facility		$1,100.00	$2,038.00	$10,522.00