Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.23 / $3,925.18 / $18,711.00	Facility		$540.23	$3,925.18	$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 $359.57 / $674.77 / $2,097.69	Facility		$359.57	$674.77	$2,097.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $449.31 / $571.95 / $611.71	Facility		$449.31	$571.95	$611.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $395.92 / $608.39 / $1,167.02	Facility		$395.92	$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