Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.24 / $2,769.52 / $18,711.00	Facility		$811.24	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $583.01 / $4,453.57 / $8,712.50	Facility		$583.01	$4,453.57	$8,712.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $1,985.59	Facility		$714.97	$870.49	$1,985.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $412.38 / $862.46 / $1,741.30	Facility		$412.38	$862.46	$1,741.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $574.62 / $800.57 / $895.12	Facility		$574.62	$800.57	$895.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $583.01 / $1,613.81	Facility		$537.44	$583.01	$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 $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00