Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.93 / $7,920.26 / $20,680.40	Facility		$875.93	$7,920.26	$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 $906.00 / $906.00 / $2,876.24	Facility		$906.00	$906.00	$2,876.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $573.36 / $1,153.63 / $2,522.36	Facility		$573.36	$1,153.63	$2,522.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $648.75 / $897.13 / $952.07	Facility		$648.75	$897.13	$952.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $621.52 / $621.52 / $865.82	Facility		$621.52	$621.52	$865.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,282.39 / $6,600.21 / $12,632.68	Facility		$4,282.39	$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