Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.40 / $3,810.00 / $18,711.00	Facility		$428.40	$3,810.00	$18,711.00
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 $284.54 / $562.63 / $2,097.69	Facility		$284.54	$562.63	$2,097.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $369.41 / $455.52 / $485.75	Facility		$369.41	$455.52	$485.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.93 / $416.80 / $1,167.02	Facility		$313.93	$416.80	$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