Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.93 / $2,769.52 / $17,930.00	Facility		$349.93	$2,769.52	$17,930.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,627.84 / $7,123.96	Facility		$55.00	$4,627.84	$7,123.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $2,046.84	Facility		$500.00	$870.49	$2,046.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $198.64 / $392.47 / $1,872.25	Facility		$198.64	$392.47	$1,872.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.38 / $373.41 / $380.56	Facility		$275.38	$373.41	$380.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.30 / $608.39 / $1,167.02	Facility		$257.30	$608.39	$1,167.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,496.71 / $5,392.38 / $10,315.01	Facility		$3,496.71	$5,392.38	$10,315.01
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