Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.00 / $1,551.07 / $14,464.32	Facility		$417.00	$1,551.07	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $874.44 / $3,269.98 / $12,000.00	Facility		$874.44	$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 $337.04 / $734.65 / $1,647.55	Facility		$337.04	$734.65	$1,647.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $613.35 / $1,138.63 / $1,317.22	Facility		$613.35	$1,138.63	$1,317.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.13 / $871.96 / $895.58	Facility		$552.13	$871.96	$895.58
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