Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.58 / $5,116.62 / $18,800.00	Facility		$779.58	$5,116.62	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,363.09 / $9,044.98 / $22,922.83	Facility		$5,363.09	$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 $506.54 / $892.80 / $7,931.04	Facility		$506.54	$892.80	$7,931.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $582.61 / $766.48 / $850.90	Facility		$582.61	$766.48	$850.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $567.61 / $580.39 / $1,367.95	Facility		$567.61	$580.39	$1,367.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,464.82 / $8,854.69 / $16,947.71	Facility		$6,464.82	$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