Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.81 / $1,943.36 / $13,809.00	Facility		$349.81	$1,943.36	$13,809.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,560.27 / $6,069.94	Facility		$55.00	$3,560.27	$6,069.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $275.57 / $933.58 / $2,315.46	Facility		$275.57	$933.58	$2,315.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $620.76 / $1,629.64 / $1,779.91	Facility		$620.76	$1,629.64	$1,779.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,192.77 / $1,192.77 / $1,241.67	Facility		$1,192.77	$1,192.77	$1,241.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,352.57 / $4,594.55 / $8,788.86	Facility		$3,352.57	$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