Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.50 / $2,312.44 / $14,464.32	Facility		$389.50	$2,312.44	$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 $345.53 / $1,501.56 / $3,091.68	Facility		$345.53	$1,501.56	$3,091.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $426.12 / $1,910.88 / $2,213.40	Facility		$426.12	$1,910.88	$2,213.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $839.66 / $1,367.34 / $1,416.98	Facility		$839.66	$1,367.34	$1,416.98
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