Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.98 / $4,946.39 / $18,711.00	Facility		$310.98	$4,946.39	$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 $203.39 / $357.95 / $5,198.37	Facility		$203.39	$357.95	$5,198.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $307.52 / $356.44	Facility		$229.50	$307.52	$356.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.37 / $243.12 / $1,367.95	Facility		$237.37	$243.12	$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 $5,519.00 / $11,371.83 / $18,189.50	Facility		$5,519.00	$11,371.83	$18,189.50