Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.20 / $5,128.00 / $21,064.51	Facility		$517.20	$5,128.00	$21,064.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,554.51 / $14,095.51 / $26,963.11	Facility		$8,554.51	$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 $411.00 / $686.34 / $5,802.99	Facility		$411.00	$686.34	$5,802.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $443.54 / $554.76 / $666.65	Facility		$443.54	$554.76	$666.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.52 / $387.99 / $1,964.09	Facility		$380.52	$387.99	$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 $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00