Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.13 / $6,470.00 / $18,800.00	Facility		$525.13	$6,470.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $566.22 / $7,547.82 / $15,403.47	Facility		$566.22	$7,547.82	$15,403.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,846.84	Facility		$714.97	$870.49	$2,846.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $444.61 / $908.41 / $2,496.58	Facility		$444.61	$908.41	$2,496.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $606.13 / $799.98 / $830.13	Facility		$606.13	$799.98	$830.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $556.28 / $566.22 / $2,218.36	Facility		$556.28	$566.22	$2,218.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
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