Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.51 / $1,622.38 / $14,464.32	Facility		$355.51	$1,622.38	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,184.88 / $14,338.22	Facility		$55.00	$6,184.88	$14,338.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $6,539.61	Facility		$500.00	$870.49	$6,539.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $276.95 / $917.28 / $4,134.25	Facility		$276.95	$917.28	$4,134.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $790.82 / $1,327.94 / $1,442.94	Facility		$790.82	$1,327.94	$1,442.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $967.01 / $1,107.43 / $3,551.23	Facility		$967.01	$1,107.43	$3,551.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,037.75 / $10,846.90 / $20,760.75	Facility		$7,037.75	$10,846.90	$20,760.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,038.00 / $10,522.00	Facility		$1,100.00	$2,038.00	$10,522.00