Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.97 / $1,708.62 / $22,024.00	Facility		$748.97	$1,708.62	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $822.14 / $1,559.22 / $3,909.12	Facility		$822.14	$1,559.22	$3,909.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $500.00 / $568.48	Facility		$466.83	$500.00	$568.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $412.21 / $917.76 / $1,505.77	Facility		$412.21	$917.76	$1,505.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.00 / $1,154.07 / $1,205.33	Facility		$831.00	$1,154.07	$1,205.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $810.42 / $810.42 / $822.14	Facility		$810.42	$810.42	$822.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,120.58 / $1,549.85 / $2,982.61	Facility		$1,120.58	$1,549.85	$2,982.61
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $648.00 / $5,793.00	Facility		$157.00	$648.00	$5,793.00