Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.93 / $1,503.58 / $13,750.00	Facility		$318.93	$1,503.58	$13,750.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $672.36 / $3,690.91 / $7,511.33	Facility		$672.36	$3,690.91	$7,511.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,390.88 / $1,390.88 / $2,317.19	Facility		$1,390.88	$1,390.88	$2,317.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $282.31 / $802.59 / $1,667.81	Facility		$282.31	$802.59	$1,667.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $365.30 / $976.94 / $1,103.02	Facility		$365.30	$976.94	$1,103.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $672.36 / $687.33 / $706.23	Facility		$672.36	$687.33	$706.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,865.25 / $3,926.70 / $7,511.33	Facility		$2,865.25	$3,926.70	$7,511.33
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