Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.67 / $6,470.00 / $20,680.40	Facility		$863.67	$6,470.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,126.18 / $6,603.99 / $14,605.02	Facility		$1,126.18	$6,603.99	$14,605.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $2,876.24	Facility		$734.00	$734.00	$2,876.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $681.12 / $1,285.56 / $2,522.36	Facility		$681.12	$1,285.56	$2,522.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $788.77 / $1,085.40 / $1,140.33	Facility		$788.77	$1,085.40	$1,140.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $750.17 / $750.17 / $957.76	Facility		$750.17	$750.17	$957.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,818.83 / $6,600.21 / $12,632.68	Facility		$4,818.83	$6,600.21	$12,632.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,415.00 / $7,995.05 / $13,047.65	Facility		$1,415.00	$7,995.05	$13,047.65