Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $709.41 / $1,542.34 / $15,788.00	Facility		$709.41	$1,542.34	$15,788.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,261.10 / $4,554.63 / $11,500.00	Facility		$2,261.10	$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 $524.83 / $1,049.32 / $1,528.97	Facility		$524.83	$1,049.32	$1,528.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $753.40 / $1,037.83 / $1,126.94	Facility		$753.40	$1,037.83	$1,126.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $736.58 / $1,613.81	Facility		$537.44	$736.58	$1,613.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,953.48 / $4,552.03 / $8,712.50	Facility		$2,953.48	$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