Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.00 / $3,810.00 / $18,711.00	Facility		$699.00	$3,810.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,689.02 / $8,576.15 / $16,394.00	Facility		$1,689.02	$8,576.15	$16,394.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,302.92	Facility		$625.25	$761.81	$3,302.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $476.25 / $947.04 / $3,021.20	Facility		$476.25	$947.04	$3,021.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $615.92 / $831.47 / $879.71	Facility		$615.92	$831.47	$879.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $571.69 / $904.15 / $1,781.59	Facility		$571.69	$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 $1,100.00 / $2,038.00 / $10,522.00	Facility		$1,100.00	$2,038.00	$10,522.00