Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.27 / $867.67 / $18,711.00	Facility		$397.27	$867.67	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.20 / $10,166.93 / $19,848.13	Facility		$1,003.20	$10,166.93	$19,848.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $4,636.17	Facility		$644.92	$1,110.00	$4,636.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $290.00 / $493.37 / $3,123.63	Facility		$290.00	$493.37	$3,123.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $354.87 / $603.00 / $684.74	Facility		$354.87	$603.00	$684.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $456.62 / $467.05 / $1,961.22	Facility		$456.62	$467.05	$1,961.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,832.97 / $10,161.12 / $19,448.18	Facility		$6,832.97	$10,161.12	$19,448.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $2,428.00 / $11,941.00	Facility		$1,403.00	$2,428.00	$11,941.00