Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.44 / $1,513.66 / $14,464.32	Facility		$224.44	$1,513.66	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $726.69 / $5,068.58 / $10,315.01	Facility		$726.69	$5,068.58	$10,315.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,228.60 / $1,228.60 / $2,046.84	Facility		$1,228.60	$1,228.60	$2,046.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $191.84 / $849.86 / $1,795.02	Facility		$191.84	$849.86	$1,795.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $290.97 / $1,276.34 / $1,481.37	Facility		$290.97	$1,276.34	$1,481.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $726.69 / $1,009.97 / $1,042.34	Facility		$726.69	$1,009.97	$1,042.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,496.71 / $5,389.29 / $10,315.01	Facility		$3,496.71	$5,389.29	$10,315.01
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