Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.94 / $3,810.00 / $18,711.00	Facility		$345.94	$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 $229.64 / $434.39 / $2,097.69	Facility		$229.64	$434.39	$2,097.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.33 / $368.93 / $392.62	Facility		$302.33	$368.93	$392.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.13 / $608.39 / $1,167.02	Facility		$254.13	$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 / $1,120.00 / $6,857.00	Facility		$650.00	$1,120.00	$6,857.00