Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.49 / $1,578.52 / $12,214.00	Facility		$382.49	$1,578.52	$12,214.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $856.17 / $3,269.98 / $16,394.00	Facility		$856.17	$3,269.98	$16,394.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,499.24	Facility		$625.25	$761.81	$1,499.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $328.91 / $798.72 / $1,623.16	Facility		$328.91	$798.72	$1,623.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $694.66 / $1,145.09 / $1,272.33	Facility		$694.66	$1,145.09	$1,272.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.13 / $831.74 / $874.44	Facility		$552.13	$831.74	$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