Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.22 / $939.58 / $14,464.32	Facility		$474.22	$939.58	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,705.44 / $13,744.57 / $28,049.69	Facility		$2,705.44	$13,744.57	$28,049.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,585.08 / $3,585.08 / $5,972.71	Facility		$3,585.08	$3,585.08	$5,972.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $361.58 / $705.03 / $4,505.89	Facility		$361.58	$705.03	$4,505.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $501.94 / $678.72 / $723.60	Facility		$501.94	$678.72	$723.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.18 / $493.56 / $2,173.03	Facility		$480.18	$493.56	$2,173.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,508.65 / $14,655.16 / $28,049.69	Facility		$9,508.65	$14,655.16	$28,049.69
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00