Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $4,500.00 / $21,108.35	Facility		$988.00	$4,500.00	$21,108.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,010.87 / $9,558.29 / $26,542.00	Facility		$2,010.87	$9,558.29	$26,542.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $3,991.53	Facility		$883.20	$1,075.31	$3,991.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $658.12 / $1,234.47 / $3,651.07	Facility		$658.12	$1,234.47	$3,651.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $832.51 / $1,140.33 / $1,203.32	Facility		$832.51	$1,140.33	$1,203.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $801.81 / $1,460.91 / $2,583.64	Facility		$801.81	$1,460.91	$2,583.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,718.33 / $9,804.29 / $18,754.53	Facility		$6,718.33	$9,804.29	$18,754.53
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