Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $959.89 / $3,568.00 / $18,711.00	Facility		$959.89	$3,568.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,795.87 / $5,471.61 / $12,000.00	Facility		$1,795.87	$5,471.61	$12,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $2,190.81	Facility		$466.83	$568.48	$2,190.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $491.98 / $1,030.93 / $1,921.26	Facility		$491.98	$1,030.93	$1,921.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $690.41 / $960.78 / $1,049.89	Facility		$690.41	$960.78	$1,049.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $685.84 / $1,795.87	Facility		$598.07	$685.84	$1,795.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,913.81 / $5,468.48 / $10,466.57	Facility		$3,913.81	$5,468.48	$10,466.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,408.00 / $6,984.25 / $11,261.00	Facility		$2,408.00	$6,984.25	$11,261.00