Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $761.96 / $5,116.62 / $18,800.00	Facility		$761.96	$5,116.62	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,968.10 / $9,879.37 / $25,560.89	Facility		$5,968.10	$9,879.37	$25,560.89
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 $619.02 / $1,077.75 / $6,620.15	Facility		$619.02	$1,077.75	$6,620.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $668.33 / $908.52 / $956.76	Facility		$668.33	$908.52	$956.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $629.22 / $652.60 / $1,470.05	Facility		$629.22	$652.60	$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