Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.20 / $5,116.62 / $20,680.40	Facility		$574.20	$5,116.62	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,562.96 / $14,663.54 / $28,049.69	Facility		$8,562.96	$14,663.54	$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 $393.84 / $732.34 / $6,620.15	Facility		$393.84	$732.34	$6,620.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $455.50 / $615.03 / $648.04	Facility		$455.50	$615.03	$648.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $419.93 / $430.49 / $2,173.03	Facility		$419.93	$430.49	$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