Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.67 / $3,170.00 / $14,464.32	Facility		$617.67	$3,170.00	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,089.03 / $9,044.98 / $16,947.71	Facility		$5,089.03	$9,044.98	$16,947.71
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 $383.56 / $664.18 / $5,198.37	Facility		$383.56	$664.18	$5,198.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $420.91 / $577.54 / $676.03	Facility		$420.91	$577.54	$676.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.74 / $461.11 / $1,367.95	Facility		$450.74	$461.11	$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