Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.67 / $2,769.52 / $20,610.00	Facility		$686.67	$2,769.52	$20,610.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,938.64 / $9,879.37 / $18,898.13	Facility		$4,938.64	$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 $612.36 / $1,113.65 / $5,967.13	Facility		$612.36	$1,113.65	$5,967.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.20 / $951.40 / $993.61	Facility		$724.20	$951.40	$993.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $658.66 / $677.73 / $1,470.05	Facility		$658.66	$677.73	$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 $1,862.00 / $3,071.07 / $10,522.00	Facility		$1,862.00	$3,071.07	$10,522.00