Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.17 / $3,810.00 / $18,711.00	Facility		$358.17	$3,810.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,389.29 / $10,430.95	Facility		$55.00	$5,389.29	$10,430.95
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 $228.37 / $445.32 / $3,135.90	Facility		$228.37	$445.32	$3,135.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $281.26 / $382.73 / $392.62	Facility		$281.26	$382.73	$392.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $259.57 / $608.39 / $2,328.38	Facility		$259.57	$608.39	$2,328.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,118.93 / $5,815.71 / $10,527.13	Facility		$4,118.93	$5,815.71	$10,527.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $6,546.25 / $9,713.75	Facility		$1,050.00	$6,546.25	$9,713.75