Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.78 / $3,925.18 / $18,711.00	Facility		$115.78	$3,925.18	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,244.99 / $9,879.37 / $18,898.13	Facility		$4,244.99	$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 $79.36 / $147.10 / $4,418.00	Facility		$79.36	$147.10	$4,418.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $90.60 / $123.04 / $129.19	Facility		$90.60	$123.04	$129.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.81 / $86.37 / $1,470.05	Facility		$83.81	$86.37	$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 $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00