Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.05 / $736.05 / $14,464.32	Facility		$314.05	$736.05	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,409.87 / $4,809.85 / $12,444.54	Facility		$1,409.87	$4,809.85	$12,444.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,126.23 / $1,126.23 / $1,876.28	Facility		$1,126.23	$1,126.23	$1,876.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $267.37 / $460.57 / $1,528.00	Facility		$267.37	$460.57	$1,528.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $339.69 / $543.83 / $653.04	Facility		$339.69	$543.83	$653.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.64 / $400.79 / $676.20	Facility		$398.64	$400.79	$676.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,118.98 / $4,807.10 / $9,200.71	Facility		$3,118.98	$4,807.10	$9,200.71
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00