Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.01 / $6,522.00 / $17,899.96	Facility		$274.01	$6,522.00	$17,899.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,089.03 / $9,044.98 / $16,947.71	Facility		$5,089.03	$9,044.98	$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 $184.91 / $335.25 / $5,198.37	Facility		$184.91	$335.25	$5,198.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $216.09 / $287.42 / $305.52	Facility		$216.09	$287.42	$305.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.49 / $208.39 / $1,367.95	Facility		$202.49	$208.39	$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