Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.04 / $1,007.31 / $13,750.00	Facility		$477.04	$1,007.31	$13,750.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.27 / $8,576.15 / $12,053.91	Facility		$1,548.27	$8,576.15	$12,053.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $3,302.92	Facility		$466.83	$568.48	$3,302.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $340.38 / $631.35 / $2,793.98	Facility		$340.38	$631.35	$2,793.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $475.16 / $736.33 / $791.94	Facility		$475.16	$736.33	$791.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $526.84 / $904.15 / $1,781.59	Facility		$526.84	$904.15	$1,781.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,118.81 / $17,453.22	Facility		$5,916.52	$9,118.81	$17,453.22
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $6,857.00	Facility		$650.00	$1,120.00	$6,857.00