Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.00 / $1,433.12 / $17,100.00	Facility		$723.00	$1,433.12	$17,100.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,304.78 / $4,554.63 / $11,500.00	Facility		$1,304.78	$4,554.63	$11,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,985.59	Facility		$625.25	$761.81	$1,985.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $515.52 / $1,032.08 / $1,525.28	Facility		$515.52	$1,032.08	$1,525.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $753.13 / $1,048.55 / $1,150.39	Facility		$753.13	$1,048.55	$1,150.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $749.72 / $1,613.81	Facility		$537.44	$749.72	$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 $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00