Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $6,470.00 / $21,917.86	Facility		$988.00	$6,470.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.58 / $6,858.44 / $14,605.02	Facility		$1,513.58	$6,858.44	$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 $656.23 / $1,260.08 / $2,522.36	Facility		$656.23	$1,260.08	$2,522.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $751.66 / $1,027.00 / $1,088.08	Facility		$751.66	$1,027.00	$1,088.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $712.12 / $712.12 / $1,126.18	Facility		$712.12	$712.12	$1,126.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,044.41 / $6,729.88 / $12,632.68	Facility		$5,044.41	$6,729.88	$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