Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.70 / $1,074.31 / $14,464.32	Facility		$539.70	$1,074.31	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,139.84 / $24,470.54 / $49,939.07	Facility		$3,139.84	$24,470.54	$49,939.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,795.54 / $6,795.54 / $11,321.29	Facility		$6,795.54	$6,795.54	$11,321.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $419.30 / $817.57 / $8,428.82	Facility		$419.30	$817.57	$8,428.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $574.62 / $788.62 / $831.64	Facility		$574.62	$788.62	$831.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $547.67 / $564.40 / $4,273.27	Facility		$547.67	$564.40	$4,273.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,231.92 / $26,091.73 / $49,939.07	Facility		$16,231.92	$26,091.73	$49,939.07
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