Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.16 / $4,011.00 / $18,711.00	Facility		$467.16	$4,011.00	$18,711.00
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 $468.27 / $821.88 / $5,198.37	Facility		$468.27	$821.88	$5,198.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $532.14 / $708.19 / $798.64	Facility		$532.14	$708.19	$798.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $534.09 / $544.74 / $1,367.95	Facility		$534.09	$544.74	$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