Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.43 / $2,769.52 / $18,711.00	Facility		$812.43	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $589.80 / $4,453.57 / $8,712.50	Facility		$589.80	$4,453.57	$8,712.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $1,985.59	Facility		$883.20	$1,075.31	$1,985.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $411.07 / $861.77 / $1,741.30	Facility		$411.07	$861.77	$1,741.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.59 / $812.60 / $910.53	Facility		$575.59	$812.60	$910.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $589.80 / $1,613.81	Facility		$537.44	$589.80	$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