Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.96 / $1,238.63 / $17,100.00	Facility		$596.96	$1,238.63	$17,100.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,040.51 / $5,167.93 / $11,429.12	Facility		$1,040.51	$5,167.93	$11,429.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $906.00 / $2,323.83	Facility		$564.00	$906.00	$2,323.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $734.08 / $1,530.93	Facility		$448.00	$734.08	$1,530.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $559.00 / $898.47 / $1,435.73	Facility		$559.00	$898.47	$1,435.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $656.85 / $669.96 / $1,040.51	Facility		$656.85	$669.96	$1,040.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,351.17 / $5,167.93 / $9,885.68	Facility		$3,351.17	$5,167.93	$9,885.68
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,120.00 / $6,857.00	Facility		$629.00	$1,120.00	$6,857.00