Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.37 / $1,536.96 / $18,711.00	Facility		$783.37	$1,536.96	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,929.39 / $5,167.93 / $11,500.00	Facility		$1,929.39	$5,167.93	$11,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,323.83	Facility		$714.97	$870.49	$2,323.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $565.75 / $1,064.83 / $1,749.26	Facility		$565.75	$1,064.83	$1,749.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $813.96 / $1,130.96 / $1,248.21	Facility		$813.96	$1,130.96	$1,248.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $642.54 / $810.87 / $1,929.39	Facility		$642.54	$810.87	$1,929.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,351.17 / $5,167.93 / $9,885.68	Facility		$3,351.17	$5,167.93	$9,885.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00