Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.16 / $956.31 / $18,711.00	Facility		$458.16	$956.31	$18,711.00
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 $644.92 / $1,110.00 / $2,323.83	Facility		$644.92	$1,110.00	$2,323.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $336.50 / $557.13 / $1,565.69	Facility		$336.50	$557.13	$1,565.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $404.80 / $666.65 / $745.04	Facility		$404.80	$666.65	$745.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $494.68 / $508.18 / $1,040.51	Facility		$494.68	$508.18	$1,040.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,770.96 / $5,167.93 / $9,885.68	Facility		$3,770.96	$5,167.93	$9,885.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,232.00 / $1,981.00 / $10,522.00	Facility		$1,232.00	$1,981.00	$10,522.00