Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.76 / $2,769.52 / $18,711.00	Facility		$654.76	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $490.36 / $8,957.00 / $17,546.59	Facility		$490.36	$8,957.00	$17,546.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $348.00 / $717.23 / $3,280.24	Facility		$348.00	$717.23	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $478.73 / $661.96 / $718.91	Facility		$478.73	$661.96	$718.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $468.40 / $490.36 / $2,961.46	Facility		$468.40	$490.36	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,646.13 / $9,167.59 / $17,546.59	Facility		$5,646.13	$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