Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.97 / $2,888.67 / $20,349.80	Facility		$430.97	$2,888.67	$20,349.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,628.53 / $14,095.51 / $26,963.11	Facility		$1,628.53	$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 $335.17 / $1,519.35 / $4,503.49	Facility		$335.17	$1,519.35	$4,503.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $416.74 / $1,734.29 / $2,029.43	Facility		$416.74	$1,734.29	$2,029.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,263.15 / $1,315.51 / $1,964.09	Facility		$1,263.15	$1,315.51	$1,964.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,140.29 / $14,087.45 / $26,963.11	Facility		$9,140.29	$14,087.45	$26,963.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00