Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.99 / $4,500.00 / $17,222.48	Facility		$403.99	$4,500.00	$17,222.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,286.30 / $8,859.76 / $22,922.83	Facility		$1,286.30	$8,859.76	$22,922.83
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 $347.16 / $633.46 / $2,679.56	Facility		$347.16	$633.46	$2,679.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $451.27 / $748.91 / $868.32	Facility		$451.27	$748.91	$868.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $592.27 / $597.51 / $1,367.95	Facility		$592.27	$597.51	$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 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00