Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.00 / $3,810.00 / $18,711.00	Facility		$352.00	$3,810.00	$18,711.00
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 $227.55 / $443.72 / $2,097.69	Facility		$227.55	$443.72	$2,097.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $283.41 / $375.26 / $385.25	Facility		$283.41	$375.26	$385.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.95 / $608.39 / $1,167.02	Facility		$255.95	$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