Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.44 / $4,011.00 / $18,711.00	Facility		$735.44	$4,011.00	$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 $625.25 / $761.81 / $1,985.59	Facility		$625.25	$761.81	$1,985.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $451.65 / $898.98 / $1,741.30	Facility		$451.65	$898.98	$1,741.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $585.05 / $779.28 / $813.28	Facility		$585.05	$779.28	$813.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $541.79 / $1,613.81	Facility		$537.44	$541.79	$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