Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.15 / $1,574.36 / $16,398.00	Facility		$370.15	$1,574.36	$16,398.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,729.58 / $6,069.94	Facility		$55.00	$2,729.58	$6,069.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $1,677.65	Facility		$500.00	$870.49	$1,677.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $293.79 / $868.14 / $1,943.31	Facility		$293.79	$868.14	$1,943.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $781.62 / $1,365.02 / $1,492.76	Facility		$781.62	$1,365.02	$1,492.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $625.69 / $1,018.20 / $1,044.61	Facility		$625.69	$1,018.20	$1,044.61
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