Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.13 / $2,323.00 / $14,464.32	Facility		$602.13	$2,323.00	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,718.33 / $28,324.73	Facility		$55.00	$6,718.33	$28,324.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $9,520.28	Facility		$500.00	$870.49	$9,520.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $409.97 / $1,511.10 / $6,018.58	Facility		$409.97	$1,511.10	$6,018.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,170.16 / $2,220.23 / $2,431.00	Facility		$1,170.16	$2,220.23	$2,431.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,481.16 / $1,619.48 / $2,583.64	Facility		$1,481.16	$1,619.48	$2,583.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,480.79 / $20,921.68 / $41,012.25	Facility		$8,480.79	$20,921.68	$41,012.25
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