Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.94 / $4,500.00 / $18,711.00	Facility		$665.94	$4,500.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $17,546.59	Facility		$2,961.46	$9,172.83	$17,546.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,740.43	Facility		$625.25	$761.81	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $358.87 / $742.54 / $3,280.24	Facility		$358.87	$742.54	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $495.39 / $694.28 / $793.95	Facility		$495.39	$694.28	$793.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $526.39 / $541.54 / $2,961.46	Facility		$526.39	$541.54	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
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