Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $709.78 / $5,128.00 / $21,917.86	Facility		$709.78	$5,128.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,795.87 / $5,471.61 / $12,100.72	Facility		$1,795.87	$5,471.61	$12,100.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $2,190.81	Facility		$883.20	$1,075.31	$2,190.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $414.01 / $835.70 / $1,921.26	Facility		$414.01	$835.70	$1,921.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $547.82 / $741.73 / $788.59	Facility		$547.82	$741.73	$788.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $508.72 / $537.89 / $1,795.87	Facility		$508.72	$537.89	$1,795.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,913.81 / $5,468.48 / $10,466.57	Facility		$3,913.81	$5,468.48	$10,466.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,471.00 / $2,542.00 / $10,522.00	Facility		$1,471.00	$2,542.00	$10,522.00