Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.16 / $1,164.50 / $13,750.00	Facility		$335.16	$1,164.50	$13,750.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,865.36 / $5,187.63	Facility		$55.00	$2,865.36	$5,187.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.23 / $788.39 / $870.49	Facility		$473.23	$788.39	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $260.54 / $554.16 / $1,290.85	Facility		$260.54	$554.16	$1,290.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $932.64 / $1,003.66	Facility		$548.00	$932.64	$1,003.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $408.17 / $654.88 / $660.47	Facility		$408.17	$654.88	$660.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,865.25 / $3,926.70 / $7,511.33	Facility		$2,865.25	$3,926.70	$7,511.33
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