Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.69 / $2,769.52 / $18,711.00	Facility		$314.69	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $817.73 / $3,590.15 / $12,000.00	Facility		$817.73	$3,590.15	$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 $190.12 / $359.45 / $1,371.35	Facility		$190.12	$359.45	$1,371.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $239.61 / $325.62 / $344.38	Facility		$239.61	$325.62	$344.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.41 / $552.13 / $929.09	Facility		$227.41	$552.13	$929.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,554.42 / $3,344.18 / $6,397.05	Facility		$2,554.42	$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