Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.51 / $4,500.00 / $18,711.00	Facility		$523.51	$4,500.00	$18,711.00
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 $487.62 / $893.97 / $5,967.13	Facility		$487.62	$893.97	$5,967.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $582.12 / $760.45 / $791.27	Facility		$582.12	$760.45	$791.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $525.48 / $539.72 / $1,470.05	Facility		$525.48	$539.72	$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 $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00