Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.48 / $5,377.00 / $34,559.28	Facility		$1,104.48	$5,377.00	$34,559.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $833.11 / $87,948.21 / $168,331.20	Facility		$833.11	$87,948.21	$168,331.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $50,000.00	Facility		$714.97	$870.49	$50,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $694.87 / $1,398.04 / $55,752.36	Facility		$694.87	$1,398.04	$55,752.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $925.61 / $1,177.02 / $1,264.29	Facility		$925.61	$1,177.02	$1,264.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.74 / $833.11 / $54,048.71	Facility		$821.74	$833.11	$54,048.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $64,211.13 / $87,998.50 / $168,331.20	Facility		$64,211.13	$87,998.50	$168,331.20
United Facility/Professional Facility Modifier Low / Median / High Price $7,425.00 / $24,068.00 / $57,498.00	Facility		$7,425.00	$24,068.00	$57,498.00