Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.14 / $1,834.49 / $12,214.00	Facility		$263.14	$1,834.49	$12,214.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,303.45 / $7,123.96	Facility		$55.00	$3,303.45	$7,123.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $636.00 / $2,046.84	Facility		$466.83	$636.00	$2,046.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $216.36 / $1,133.14 / $2,387.94	Facility		$216.36	$1,133.14	$2,387.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $983.61 / $1,511.41 / $1,863.48	Facility		$983.61	$1,511.41	$1,863.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $726.69 / $1,076.26 / $1,167.02	Facility		$726.69	$1,076.26	$1,167.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,496.71 / $5,392.38 / $10,315.01	Facility		$3,496.71	$5,392.38	$10,315.01
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