Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.43 / $1,137.31 / $12,214.00	Facility		$142.43	$1,137.31	$12,214.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $805.05 / $3,269.98 / $12,000.00	Facility		$805.05	$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 $123.71 / $589.69 / $1,314.78	Facility		$123.71	$589.69	$1,314.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $513.66 / $845.54 / $964.13	Facility		$513.66	$845.54	$964.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.13 / $648.24 / $874.44	Facility		$552.13	$648.24	$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 $1,120.00 / $4,087.50 / $6,745.32	Facility		$1,120.00	$4,087.50	$6,745.32