Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.48 / $6,259.76 / $14,838.78	Facility		$424.48	$6,259.76	$14,838.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,401.20 / $8,859.76 / $16,947.71	Facility		$1,401.20	$8,859.76	$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 $350.02 / $614.41 / $2,679.56	Facility		$350.02	$614.41	$2,679.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $417.64 / $586.25 / $718.24	Facility		$417.64	$586.25	$718.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.63 / $489.90 / $1,367.95	Facility		$480.63	$489.90	$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 / $4,818.00 / $10,522.00	Facility		$1,550.00	$4,818.00	$10,522.00