Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.95 / $5,116.62 / $21,442.36	Facility		$370.95	$5,116.62	$21,442.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,089.03 / $9,044.98 / $22,922.83	Facility		$5,089.03	$9,044.98	$22,922.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,380.38 / $2,380.38 / $3,965.68	Facility		$2,380.38	$2,380.38	$3,965.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $380.55 / $661.67 / $5,198.37	Facility		$380.55	$661.67	$5,198.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $431.15 / $578.21 / $637.84	Facility		$431.15	$578.21	$637.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $427.63 / $435.06 / $1,367.95	Facility		$427.63	$435.06	$1,367.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,745.15 / $8,854.69 / $16,947.71	Facility		$5,745.15	$8,854.69	$16,947.71
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