Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.03 / $3,925.18 / $18,711.00	Facility		$480.03	$3,925.18	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,482.52 / $9,879.37 / $18,898.13	Facility		$4,482.52	$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 $325.08 / $594.02 / $5,453.39	Facility		$325.08	$594.02	$5,453.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $372.40 / $507.86 / $527.29	Facility		$372.40	$507.86	$527.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $350.17 / $359.66 / $1,470.05	Facility		$350.17	$359.66	$1,470.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,660.15 / $18,898.13	Facility		$6,079.47	$9,660.15	$18,898.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $3,071.07 / $10,522.00	Facility		$1,862.00	$3,071.07	$10,522.00