Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.62 / $2,064.40 / $18,711.00	Facility		$191.62	$2,064.40	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,616.42 / $2,682.56 / $11,500.00	Facility		$1,616.42	$2,682.56	$11,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $679.51 / $679.51 / $1,132.06	Facility		$679.51	$679.51	$1,132.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $142.50 / $250.94 / $1,907.75	Facility		$142.50	$250.94	$1,907.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $166.65 / $201.50 / $231.42	Facility		$166.65	$201.50	$231.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.79 / $148.07 / $438.31	Facility		$141.79	$148.07	$438.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,674.98 / $2,581.55 / $4,941.05	Facility		$1,674.98	$2,581.55	$4,941.05
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,106.00 / $4,911.00	Facility		$591.00	$1,106.00	$4,911.00