Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.33 / $7,394.00 / $18,800.00	Facility		$923.33	$7,394.00	$18,800.00
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 $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 $523.29 / $1,049.39 / $1,741.30	Facility		$523.29	$1,049.39	$1,741.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.39 / $944.03 / $1,012.37	Facility		$691.39	$944.03	$1,012.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $664.55 / $1,613.81	Facility		$537.44	$664.55	$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