Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.53 / $1,001.77 / $14,464.32	Facility		$507.53	$1,001.77	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,892.80 / $13,744.57 / $28,049.69	Facility		$2,892.80	$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 $412.68 / $753.02 / $4,505.89	Facility		$412.68	$753.02	$4,505.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $536.05 / $727.62 / $777.24	Facility		$536.05	$727.62	$777.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $514.61 / $529.66 / $2,173.03	Facility		$514.61	$529.66	$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 $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00