Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.75 / $10,180.24 / $27,982.24	Facility		$793.75	$10,180.24	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,886.41 / $16,351.48 / $31,278.54	Facility		$9,886.41	$16,351.48	$31,278.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,066.66 / $4,066.66 / $6,775.01	Facility		$4,066.66	$4,066.66	$6,775.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $847.56 / $1,496.91 / $12,028.17	Facility		$847.56	$1,496.91	$12,028.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $963.80 / $1,285.06 / $1,383.55	Facility		$963.80	$1,285.06	$1,383.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $919.59 / $943.71 / $2,429.53	Facility		$919.59	$943.71	$2,429.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,603.20 / $16,342.14 / $31,278.54	Facility		$10,603.20	$16,342.14	$31,278.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $4,686.00 / $20,708.00	Facility		$3,028.00	$4,686.00	$20,708.00