Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.79 / $2,769.52 / $18,711.00	Facility		$615.79	$2,769.52	$18,711.00
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 $466.83 / $568.48 / $1,985.59	Facility		$466.83	$568.48	$1,985.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $330.16 / $680.10 / $1,741.30	Facility		$330.16	$680.10	$1,741.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $449.33 / $616.40 / $672.68	Facility		$449.33	$616.40	$672.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.77 / $458.83 / $1,613.81	Facility		$440.77	$458.83	$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