Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $836.69 / $5,116.62 / $20,680.40	Facility		$836.69	$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 $573.78 / $1,066.53 / $6,620.15	Facility		$573.78	$1,066.53	$6,620.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.38 / $898.78 / $941.16	Facility		$691.38	$898.78	$941.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $612.46 / $628.83 / $2,173.03	Facility		$612.46	$628.83	$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 $1,862.00 / $4,526.62 / $10,522.00	Facility		$1,862.00	$4,526.62	$10,522.00