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 / $20,680.40	Facility		$988.00	$4,500.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,193.67 / $9,558.29 / $26,542.00	Facility		$2,193.67	$9,558.29	$26,542.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,877.15 / $2,285.42 / $3,991.53	Facility		$1,877.15	$2,285.42	$3,991.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $798.37 / $1,534.02 / $3,651.07	Facility		$798.37	$1,534.02	$3,651.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,027.04 / $1,391.73 / $1,460.60	Facility		$1,027.04	$1,391.73	$1,460.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $982.10 / $1,460.91 / $2,583.64	Facility		$982.10	$1,460.91	$2,583.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,069.92 / $9,804.29 / $18,754.53	Facility		$7,069.92	$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