Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.10 / $1,040.72 / $11,522.02	Facility		$407.10	$1,040.72	$11,522.02
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 $333.80 / $634.27 / $1,307.94	Facility		$333.80	$634.27	$1,307.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $481.95 / $811.37 / $926.83	Facility		$481.95	$811.37	$926.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.13 / $606.57 / $874.44	Facility		$552.13	$606.57	$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