Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.68 / $1,059.05 / $12,214.00	Facility		$310.68	$1,059.05	$12,214.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $817.73 / $3,269.98 / $12,000.00	Facility		$817.73	$3,269.98	$12,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,499.24	Facility		$466.83	$568.48	$1,499.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $250.52 / $534.05 / $1,189.04	Facility		$250.52	$534.05	$1,189.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $430.40 / $745.19 / $826.11	Facility		$430.40	$745.19	$826.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.13 / $572.14 / $874.44	Facility		$552.13	$572.14	$874.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,168.55 / $3,344.18 / $6,397.05	Facility		$2,168.55	$3,344.18	$6,397.05
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