Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.00 / $6,470.00 / $20,680.40	Facility		$801.00	$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 $627.67 / $1,241.93 / $2,522.36	Facility		$627.67	$1,241.93	$2,522.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $718.34 / $983.56 / $1,050.59	Facility		$718.34	$983.56	$1,050.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $686.30 / $686.30 / $957.76	Facility		$686.30	$686.30	$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 $1,224.00 / $1,862.00 / $10,522.00	Facility		$1,224.00	$1,862.00	$10,522.00