Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.50 / $1,733.00 / $14,464.32	Facility		$954.50	$1,733.00	$14,464.32
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 $631.46 / $1,134.06 / $1,782.55	Facility		$631.46	$1,134.06	$1,782.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $848.73 / $1,315.90 / $1,437.15	Facility		$848.73	$1,315.90	$1,437.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $960.36 / $1,613.81	Facility		$537.44	$960.36	$1,613.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,552.03 / $8,712.50	Facility		$3,434.81	$4,552.03	$8,712.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00