Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.81 / $2,291.00 / $17,930.00	Facility		$358.81	$2,291.00	$17,930.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,920.96 / $10,512.09	Facility		$55.00	$6,920.96	$10,512.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $3,311.26	Facility		$500.00	$870.49	$3,311.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $243.18 / $481.60 / $3,337.51	Facility		$243.18	$481.60	$3,337.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $292.52 / $380.77 / $392.36	Facility		$292.52	$380.77	$392.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.74 / $420.93 / $1,915.04	Facility		$262.74	$420.93	$1,915.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,873.77 / $7,956.97 / $15,220.78	Facility		$4,873.77	$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