Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $886.75 / $5,128.00 / $20,680.40	Facility		$886.75	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,766.22 / $19,381.37 / $37,074.37	Facility		$10,766.22	$19,381.37	$37,074.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $12,965.96	Facility		$714.97	$870.49	$12,965.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $772.80 / $1,467.35 / $11,370.72	Facility		$772.80	$1,467.35	$11,370.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $963.29 / $1,275.58 / $1,366.80	Facility		$963.29	$1,275.58	$1,366.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.20 / $896.63 / $10,766.22	Facility		$875.20	$896.63	$10,766.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,804.34 / $19,750.84 / $37,074.37	Facility		$14,804.34	$19,750.84	$37,074.37
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $7,614.00 / $24,236.00	Facility		$3,700.00	$7,614.00	$24,236.00