Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.51 / $2,769.52 / $18,711.00	Facility		$355.51	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $874.44 / $3,590.15 / $12,000.00	Facility		$874.44	$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 $214.87 / $420.53 / $1,371.35	Facility		$214.87	$420.53	$1,371.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $277.14 / $374.53 / $389.94	Facility		$277.14	$374.53	$389.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.02 / $552.13 / $929.09	Facility		$260.02	$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 $805.00 / $1,069.14 / $3,740.00	Facility		$805.00	$1,069.14	$3,740.00