Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.47 / $5,116.62 / $18,711.00	Facility		$503.47	$5,116.62	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,968.10 / $9,879.37 / $18,898.13	Facility		$5,968.10	$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 $344.61 / $640.39 / $6,620.15	Facility		$344.61	$640.39	$6,620.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $402.00 / $538.80 / $560.28	Facility		$402.00	$538.80	$560.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $366.93 / $377.03 / $1,470.05	Facility		$366.93	$377.03	$1,470.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,406.33 / $9,873.73 / $18,898.13	Facility		$6,406.33	$9,873.73	$18,898.13
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