Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.39 / $1,036.08 / $14,464.32	Facility		$525.39	$1,036.08	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,630.18 / $9,879.37 / $18,898.13	Facility		$2,630.18	$9,879.37	$18,898.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,353.44 / $2,353.44 / $3,920.80	Facility		$2,353.44	$2,353.44	$3,920.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $402.75 / $790.36 / $3,140.04	Facility		$402.75	$790.36	$3,140.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $556.15 / $765.81 / $805.12	Facility		$556.15	$765.81	$805.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $532.28 / $547.49 / $1,470.05	Facility		$532.28	$547.49	$1,470.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,406.33 / $9,879.37 / $18,898.13	Facility		$6,406.33	$9,879.37	$18,898.13
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