Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.45 / $3,016.00 / $17,930.00	Facility		$712.45	$3,016.00	$17,930.00
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 $664.02 / $1,211.84 / $5,967.13	Facility		$664.02	$1,211.84	$5,967.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $759.99 / $1,042.52 / $1,080.71	Facility		$759.99	$1,042.52	$1,080.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $713.02 / $737.14 / $1,470.05	Facility		$713.02	$737.14	$1,470.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,873.73 / $18,898.13	Facility		$6,079.47	$9,873.73	$18,898.13
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