Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.47 / $5,128.00 / $18,800.00	Facility		$683.47	$5,128.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,938.64 / $9,879.37 / $25,560.89	Facility		$4,938.64	$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 $462.84 / $846.14 / $5,967.13	Facility		$462.84	$846.14	$5,967.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $548.15 / $718.24 / $752.41	Facility		$548.15	$718.24	$752.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $495.58 / $513.21 / $1,470.05	Facility		$495.58	$513.21	$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 $1,550.00 / $4,818.00 / $10,522.00	Facility		$1,550.00	$4,818.00	$10,522.00