Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.74 / $2,470.92 / $14,464.32	Facility		$454.74	$2,470.92	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $839.66 / $5,555.74 / $11,041.39	Facility		$839.66	$5,555.74	$11,041.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,364.71 / $1,364.71 / $2,273.59	Facility		$1,364.71	$1,364.71	$2,273.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $405.48 / $1,531.84 / $3,152.43	Facility		$405.48	$1,531.84	$3,152.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,140.03 / $1,889.36 / $2,275.98	Facility		$1,140.03	$1,889.36	$2,275.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $839.66 / $1,346.32 / $1,411.55	Facility		$839.66	$1,346.32	$1,411.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,408.99 / $5,768.81 / $11,041.39	Facility		$4,408.99	$5,768.81	$11,041.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00