Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.88 / $7,263.14 / $18,711.00	Facility		$419.88	$7,263.14	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,213.87 / $21,602.23	Facility		$55.00	$11,213.87	$21,602.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $9,624.65	Facility		$500.00	$870.49	$9,624.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $366.57 / $5,167.68 / $12,189.74	Facility		$366.57	$5,167.68	$12,189.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,659.56 / $6,989.59 / $8,198.79	Facility		$4,659.56	$6,989.59	$8,198.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,676.76 / $5,245.46 / $5,519.48	Facility		$3,676.76	$5,245.46	$5,519.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,931.42 / $16,351.48 / $31,278.54	Facility		$11,931.42	$16,351.48	$31,278.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,900.00 / $4,686.00 / $19,271.00	Facility		$1,900.00	$4,686.00	$19,271.00