Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.55 / $4,011.00 / $18,711.00	Facility		$433.55	$4,011.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $329.04 / $4,269.18 / $8,712.50	Facility		$329.04	$4,269.18	$8,712.50
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 $247.63 / $508.95 / $1,422.51	Facility		$247.63	$508.95	$1,422.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $345.93 / $454.15 / $484.16	Facility		$345.93	$454.15	$484.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $322.54 / $329.04 / $1,613.81	Facility		$322.54	$329.04	$1,613.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,953.48 / $4,552.03 / $8,712.50	Facility		$2,953.48	$4,552.03	$8,712.50
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