Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.67 / $3,810.00 / $18,711.00	Facility		$549.67	$3,810.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $874.44 / $3,590.15 / $16,394.00	Facility		$874.44	$3,590.15	$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 $372.12 / $751.96 / $1,371.35	Facility		$372.12	$751.96	$1,371.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $492.58 / $583.03 / $702.82	Facility		$492.58	$583.03	$702.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.26 / $552.13 / $929.09	Facility		$402.26	$552.13	$929.09
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