Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.21 / $2,812.16 / $18,711.00	Facility		$656.21	$2,812.16	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $606.11 / $13,122.09 / $26,963.11	Facility		$606.11	$13,122.09	$26,963.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,164.22 / $5,271.55 / $5,271.55	Facility		$3,164.22	$5,271.55	$5,271.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $549.16 / $1,047.17 / $6,657.75	Facility		$549.16	$1,047.17	$6,657.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $647.78 / $871.08 / $919.24	Facility		$647.78	$871.08	$919.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.11 / $627.00 / $1,964.09	Facility		$606.11	$627.00	$1,964.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,140.29 / $14,087.45 / $26,963.11	Facility		$9,140.29	$14,087.45	$26,963.11
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