Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.78 / $2,095.85 / $13,750.00	Facility		$407.78	$2,095.85	$13,750.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $839.66 / $5,425.50 / $11,041.39	Facility		$839.66	$5,425.50	$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 $364.06 / $1,320.95 / $2,679.25	Facility		$364.06	$1,320.95	$2,679.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $459.00 / $1,621.16 / $1,851.64	Facility		$459.00	$1,621.16	$1,851.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $839.66 / $1,154.38 / $1,206.33	Facility		$839.66	$1,154.38	$1,206.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,742.95 / $5,768.81 / $11,041.39	Facility		$3,742.95	$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