Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.21 / $3,925.18 / $18,711.00	Facility		$517.21	$3,925.18	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,968.10 / $9,879.37 / $18,898.13	Facility		$5,968.10	$9,879.37	$18,898.13
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 $393.88 / $724.64 / $6,620.15	Facility		$393.88	$724.64	$6,620.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $442.96 / $610.48 / $652.58	Facility		$442.96	$610.48	$652.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.27 / $445.12 / $1,470.05	Facility		$426.27	$445.12	$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 / $4,818.00 / $10,522.00	Facility		$1,550.00	$4,818.00	$10,522.00