Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.16 / $1,209.55 / $16,052.03	Facility		$571.16	$1,209.55	$16,052.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $4,554.63 / $11,500.00	Facility		$1,622.00	$4,554.63	$11,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,985.59	Facility		$466.83	$568.48	$1,985.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $395.25 / $735.95 / $1,451.58	Facility		$395.25	$735.95	$1,451.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $576.59 / $805.34 / $877.70	Facility		$576.59	$805.34	$877.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $579.39 / $1,613.81	Facility		$537.44	$579.39	$1,613.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,552.03 / $8,712.50	Facility		$3,434.81	$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