Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.45 / $4,011.00 / $18,711.00	Facility		$342.45	$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 $192.27 / $394.05 / $1,741.30	Facility		$192.27	$394.05	$1,741.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $252.91 / $349.74 / $375.87	Facility		$252.91	$349.74	$375.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.43 / $256.38 / $1,613.81	Facility		$246.43	$256.38	$1,613.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,024.21 / $4,552.03 / $8,712.50	Facility		$3,024.21	$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