Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.76 / $2,323.00 / $14,464.32	Facility		$213.76	$2,323.00	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,219.73 / $5,068.58 / $12,000.00	Facility		$1,219.73	$5,068.58	$12,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $2,046.84	Facility		$466.83	$568.48	$2,046.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $158.40 / $401.31 / $2,547.87	Facility		$158.40	$401.31	$2,547.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $228.00 / $1,686.63 / $2,036.80	Facility		$228.00	$1,686.63	$2,036.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $726.69 / $1,219.73 / $1,281.08	Facility		$726.69	$1,219.73	$1,281.08
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