Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.16 / $6,470.00 / $18,800.00	Facility		$545.16	$6,470.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $581.29 / $8,957.00 / $17,546.59	Facility		$581.29	$8,957.00	$17,546.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $2,285.42 / $3,740.43	Facility		$714.97	$2,285.42	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $468.49 / $946.67 / $3,280.24	Facility		$468.49	$946.67	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.21 / $809.36 / $852.24	Facility		$602.21	$809.36	$852.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $566.25 / $581.29 / $2,961.46	Facility		$566.25	$581.29	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
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