Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.20 / $5,128.00 / $22,671.14	Facility		$535.20	$5,128.00	$22,671.14
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 $714.97 / $1,698.13 / $3,311.26	Facility		$714.97	$1,698.13	$3,311.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $431.52 / $796.05 / $3,028.83	Facility		$431.52	$796.05	$3,028.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $543.50 / $738.34 / $789.26	Facility		$543.50	$738.34	$789.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $525.48 / $1,208.98 / $1,915.04	Facility		$525.48	$1,208.98	$1,915.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,806.07 / $7,956.97 / $15,220.78	Facility		$5,806.07	$7,956.97	$15,220.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,129.00 / $10,638.00	Facility		$1,300.00	$3,129.00	$10,638.00