Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.14 / $2,978.60 / $17,100.00	Facility		$268.14	$2,978.60	$17,100.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,693.70 / $4,809.85 / $12,000.00	Facility		$1,693.70	$4,809.85	$12,000.00
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 $233.26 / $1,264.15 / $3,147.27	Facility		$233.26	$1,264.15	$3,147.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $289.44 / $2,010.38 / $2,349.69	Facility		$289.44	$2,010.38	$2,349.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.20 / $1,435.44 / $1,530.69	Facility		$676.20	$1,435.44	$1,530.69
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