Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.70 / $3,121.88 / $17,930.00	Facility		$364.70	$3,121.88	$17,930.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,701.16 / $4,730.13 / $11,500.00	Facility		$2,701.16	$4,730.13	$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 $208.36 / $422.20 / $1,741.30	Facility		$208.36	$422.20	$1,741.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.87 / $377.21 / $399.32	Facility		$275.87	$377.21	$399.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $264.10 / $272.37 / $1,613.81	Facility		$264.10	$272.37	$1,613.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,024.21 / $4,552.03 / $8,712.50	Facility		$3,024.21	$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