Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.27 / $1,457.32 / $14,464.32	Facility		$298.27	$1,457.32	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,076.26 / $5,068.58 / $16,394.00	Facility		$1,076.26	$5,068.58	$16,394.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $2,046.84	Facility		$625.25	$761.81	$2,046.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $238.38 / $560.16 / $1,872.25	Facility		$238.38	$560.16	$1,872.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $366.60 / $1,055.24 / $1,193.94	Facility		$366.60	$1,055.24	$1,193.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $726.69 / $837.60 / $1,167.02	Facility		$726.69	$837.60	$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