Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.09 / $4,500.00 / $20,680.40	Facility		$731.09	$4,500.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,613.81 / $4,554.63 / $11,500.00	Facility		$1,613.81	$4,554.63	$11,500.00
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 $400.20 / $824.39 / $1,741.30	Facility		$400.20	$824.39	$1,741.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $540.22 / $747.05 / $823.43	Facility		$540.22	$747.05	$823.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $539.52 / $1,613.81	Facility		$537.44	$539.52	$1,613.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,323.45 / $4,552.03 / $8,712.50	Facility		$3,323.45	$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