Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $506.25 / $1,437.62 / $13,809.00	Facility		$506.25	$1,437.62	$13,809.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $615.16 / $1,993.85 / $4,409.49	Facility		$615.16	$1,993.85	$4,409.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $894.39 / $906.00	Facility		$564.00	$894.39	$906.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $396.00 / $635.54 / $1,168.83	Facility		$396.00	$635.54	$1,168.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $450.80 / $656.05 / $919.24	Facility		$450.80	$656.05	$919.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.52 / $614.21 / $615.16	Facility		$277.52	$614.21	$615.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,292.92 / $1,992.71 / $3,814.01	Facility		$1,292.92	$1,992.71	$3,814.01
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $887.00 / $4,611.00	Facility		$350.00	$887.00	$4,611.00