Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.48 / $1,230.95 / $14,464.32	Facility		$426.48	$1,230.95	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $849.46 / $4,318.66 / $12,000.00	Facility		$849.46	$4,318.66	$12,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,677.65	Facility		$466.83	$568.48	$1,677.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $330.24 / $706.50 / $1,471.24	Facility		$330.24	$706.50	$1,471.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $499.97 / $981.44 / $1,067.59	Facility		$499.97	$981.44	$1,067.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $625.69 / $711.21 / $988.05	Facility		$625.69	$711.21	$988.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,979.36 / $4,594.55 / $8,788.86	Facility		$2,979.36	$4,594.55	$8,788.86
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