Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.57 / $1,181.78 / $17,100.00	Facility		$641.57	$1,181.78	$17,100.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,323.75 / $4,594.55 / $11,500.00	Facility		$1,323.75	$4,594.55	$11,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,677.65	Facility		$625.25	$761.81	$1,677.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $405.59 / $754.06 / $1,291.83	Facility		$405.59	$754.06	$1,291.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $596.29 / $860.95 / $1,005.67	Facility		$596.29	$860.95	$1,005.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.84 / $671.80 / $1,323.75	Facility		$440.84	$671.80	$1,323.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,509.52 / $4,594.55 / $8,788.86	Facility		$3,509.52	$4,594.55	$8,788.86
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