Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.49 / $5,918.50 / $18,711.00	Facility		$882.49	$5,918.50	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,403.52 / $5,471.61 / $11,500.00	Facility		$3,403.52	$5,471.61	$11,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $2,190.81	Facility		$883.20	$1,075.31	$2,190.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $724.71 / $1,404.62 / $2,156.25	Facility		$724.71	$1,404.62	$2,156.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $955.92 / $1,321.91 / $1,410.35	Facility		$955.92	$1,321.91	$1,410.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $931.37 / $1,795.87	Facility		$598.07	$931.37	$1,795.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,179.46 / $5,682.43 / $10,585.41	Facility		$4,179.46	$5,682.43	$10,585.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00