Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.99 / $3,810.00 / $18,711.00	Facility		$411.99	$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 $269.77 / $526.07 / $2,097.69	Facility		$269.77	$526.07	$2,097.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $335.16 / $437.67 / $454.92	Facility		$335.16	$437.67	$454.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $304.87 / $608.39 / $1,167.02	Facility		$304.87	$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 / $1,436.00 / $4,271.00	Facility		$650.00	$1,436.00	$4,271.00