Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.60 / $5,116.62 / $18,800.00	Facility		$644.60	$5,116.62	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,791.87 / $14,095.51 / $26,963.11	Facility		$8,791.87	$14,095.51	$26,963.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,164.22 / $3,164.22 / $5,271.55	Facility		$3,164.22	$3,164.22	$5,271.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $410.22 / $715.08 / $11,411.87	Facility		$410.22	$715.08	$11,411.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $465.95 / $617.74 / $702.83	Facility		$465.95	$617.74	$702.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $470.21 / $479.39 / $1,964.09	Facility		$470.21	$479.39	$1,964.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,911.79 / $14,087.45 / $26,963.11	Facility		$9,911.79	$14,087.45	$26,963.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,478.00 / $4,395.58 / $16,315.00	Facility		$3,478.00	$4,395.58	$16,315.00