Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $971.90 / $5,116.62 / $18,800.00	Facility		$971.90	$5,116.62	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,879.37 / $25,560.89	Facility		$6,079.47	$9,879.37	$25,560.89
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 $656.61 / $1,205.50 / $9,036.82	Facility		$656.61	$1,205.50	$9,036.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $755.29 / $1,022.42 / $1,072.00	Facility		$755.29	$1,022.42	$1,072.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $705.77 / $731.20 / $1,470.05	Facility		$705.77	$731.20	$1,470.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,208.83 / $9,873.73 / $18,898.13	Facility		$7,208.83	$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