Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.62 / $4,283.46 / $14,464.32	Facility		$560.62	$4,283.46	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,790.56 / $7,929.30 / $12,000.00	Facility		$1,790.56	$7,929.30	$12,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $3,311.26	Facility		$466.83	$568.48	$3,311.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $332.64 / $625.66 / $3,028.83	Facility		$332.64	$625.66	$3,028.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $423.36 / $578.88 / $615.05	Facility		$423.36	$578.88	$615.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $406.34 / $929.09 / $1,915.04	Facility		$406.34	$929.09	$1,915.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,159.74 / $7,956.97 / $15,220.78	Facility		$5,159.74	$7,956.97	$15,220.78
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