Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.54 / $6,470.00 / $18,800.00	Facility		$900.54	$6,470.00	$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 $605.87 / $1,117.98 / $6,620.15	Facility		$605.87	$1,117.98	$6,620.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $686.98 / $943.36 / $992.94	Facility		$686.98	$943.36	$992.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $651.87 / $677.27 / $1,470.05	Facility		$651.87	$677.27	$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 $5,519.00 / $12,335.51 / $19,730.93	Facility		$5,519.00	$12,335.51	$19,730.93