Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.77 / $2,769.52 / $18,711.00	Facility		$174.77	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,518.34 / $5,772.11 / $12,000.00	Facility		$3,518.34	$5,772.11	$12,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,364.71 / $1,364.71 / $2,273.59	Facility		$1,364.71	$1,364.71	$2,273.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $119.25 / $220.66 / $5,453.39	Facility		$119.25	$220.66	$5,453.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $145.04 / $187.60 / $195.84	Facility		$145.04	$187.60	$195.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.29 / $131.16 / $839.66	Facility		$127.29	$131.16	$839.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,211.81 / $5,768.81 / $11,041.39	Facility		$4,211.81	$5,768.81	$11,041.39
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