Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.92 / $1,710.00 / $12,214.00	Facility		$363.92	$1,710.00	$12,214.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $725.75 / $4,554.63 / $11,500.00	Facility		$725.75	$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 $241.42 / $465.88 / $1,422.51	Facility		$241.42	$465.88	$1,422.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $364.04 / $636.66 / $672.52	Facility		$364.04	$636.66	$672.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $448.02 / $451.97 / $1,613.81	Facility		$448.02	$451.97	$1,613.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,554.63 / $8,712.50	Facility		$3,434.81	$4,554.63	$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