Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.66 / $1,146.66 / $18,711.00	Facility		$462.66	$1,146.66	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $853.00 / $4,857.60 / $9,885.68	Facility		$853.00	$4,857.60	$9,885.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $311.92 / $635.63 / $1,598.62	Facility		$311.92	$635.63	$1,598.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $491.78 / $979.51 / $1,232.13	Facility		$491.78	$979.51	$1,232.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $840.42 / $840.42 / $853.00	Facility		$840.42	$840.42	$853.00
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 $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00