Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.00 / $5,116.62 / $18,800.00	Facility		$801.00	$5,116.62	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,682.09 / $14,095.51 / $26,963.11	Facility		$7,682.09	$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 $617.04 / $1,076.36 / $7,931.04	Facility		$617.04	$1,076.36	$7,931.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $700.70 / $933.31 / $1,027.10	Facility		$700.70	$933.31	$1,027.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $685.39 / $700.58 / $1,964.09	Facility		$685.39	$700.58	$1,964.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,791.87 / $14,087.45 / $26,963.11	Facility		$8,791.87	$14,087.45	$26,963.11
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