Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.11 / $5,318.00 / $19,036.16	Facility		$651.11	$5,318.00	$19,036.16
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 $527.46 / $973.96 / $9,391.74	Facility		$527.46	$973.96	$9,391.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $600.49 / $777.20 / $830.54	Facility		$600.49	$777.20	$830.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.26 / $557.54 / $2,173.03	Facility		$537.26	$557.54	$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 $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00