Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.09 / $3,925.18 / $18,711.00	Facility		$659.09	$3,925.18	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,446.27 / $4,594.55 / $11,500.00	Facility		$1,446.27	$4,594.55	$11,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,677.65	Facility		$625.25	$761.81	$1,677.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $360.61 / $734.82 / $1,471.24	Facility		$360.61	$734.82	$1,471.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $488.53 / $663.97 / $719.58	Facility		$488.53	$663.97	$719.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.84 / $473.84 / $1,323.75	Facility		$440.84	$473.84	$1,323.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,264.85 / $4,591.92 / $8,788.86	Facility		$3,264.85	$4,591.92	$8,788.86
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