Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.52 / $1,141.60 / $14,464.32	Facility		$617.52	$1,141.60	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,745.19 / $9,124.02 / $17,453.22	Facility		$2,745.19	$9,124.02	$17,453.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,982.56 / $1,982.56 / $3,302.92	Facility		$1,982.56	$1,982.56	$3,302.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $422.41 / $775.67 / $2,793.98	Facility		$422.41	$775.67	$2,793.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.79 / $816.44 / $901.15	Facility		$588.79	$816.44	$901.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $604.76 / $614.66 / $1,140.42	Facility		$604.76	$614.66	$1,140.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,101.25 / $17,453.22	Facility		$5,916.52	$9,101.25	$17,453.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00