Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.47 / $1,179.93 / $13,750.00	Facility		$628.47	$1,179.93	$13,750.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,140.42 / $8,552.21 / $12,000.00	Facility		$1,140.42	$8,552.21	$12,000.00
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 $430.90 / $873.61 / $2,793.98	Facility		$430.90	$873.61	$2,793.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $632.27 / $867.65 / $903.83	Facility		$632.27	$867.65	$903.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $605.21 / $904.15 / $1,781.59	Facility		$605.21	$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