Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.12 / $1,245.59 / $14,464.32	Facility		$745.12	$1,245.59	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $734.54 / $4,062.29 / $12,000.00	Facility		$734.54	$4,062.29	$12,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,557.08	Facility		$466.83	$568.48	$1,557.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $495.69 / $910.41 / $1,412.41	Facility		$495.69	$910.41	$1,412.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $708.05 / $976.86 / $1,055.25	Facility		$708.05	$976.86	$1,055.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $541.04 / $719.78 / $916.41	Facility		$541.04	$719.78	$916.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,802.50 / $4,321.81 / $8,267.12	Facility		$2,802.50	$4,321.81	$8,267.12
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