Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $953.38 / $5,623.88 / $18,800.00	Facility		$953.38	$5,623.88	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,058.56 / $18,877.79 / $36,111.08	Facility		$11,058.56	$18,877.79	$36,111.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,392.67 / $4,392.67 / $7,318.13	Facility		$4,392.67	$4,392.67	$7,318.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $630.55 / $1,082.61 / $10,537.73	Facility		$630.55	$1,082.61	$10,537.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $719.97 / $976.86 / $1,065.30	Facility		$719.97	$976.86	$1,065.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $694.90 / $726.63 / $2,568.11	Facility		$694.90	$726.63	$2,568.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,241.40 / $18,867.00 / $36,111.08	Facility		$12,241.40	$18,867.00	$36,111.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00