Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.82 / $5,116.62 / $21,100.74	Facility		$622.82	$5,116.62	$21,100.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,429.53 / $15,369.61 / $31,278.54	Facility		$2,429.53	$15,369.61	$31,278.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,066.66 / $4,066.66 / $6,775.01	Facility		$4,066.66	$4,066.66	$6,775.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $541.73 / $4,283.06 / $9,010.94	Facility		$541.73	$4,283.06	$9,010.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $696.13 / $5,239.17 / $6,456.25	Facility		$696.13	$5,239.17	$6,456.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,429.53 / $3,772.54 / $4,007.69	Facility		$2,429.53	$3,772.54	$4,007.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,777.66 / $16,342.14 / $31,278.54	Facility		$11,777.66	$16,342.14	$31,278.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,540.00 / $19,271.00	Facility		$3,028.00	$11,540.00	$19,271.00