Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.22 / $3,568.00 / $18,711.00	Facility		$749.22	$3,568.00	$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 $506.97 / $930.24 / $6,254.64	Facility		$506.97	$930.24	$6,254.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $584.21 / $789.93 / $824.16	Facility		$584.21	$789.93	$824.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $543.60 / $562.11 / $1,470.05	Facility		$543.60	$562.11	$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 $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00