Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.47 / $1,627.47 / $14,464.32	Facility		$584.47	$1,627.47	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,595.57 / $2,583.03 / $6,683.07	Facility		$1,595.57	$2,583.03	$6,683.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,132.06	Facility		$466.83	$568.48	$1,132.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $450.46 / $840.73 / $1,650.88	Facility		$450.46	$840.73	$1,650.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $639.29 / $1,169.30 / $1,301.14	Facility		$639.29	$1,169.30	$1,301.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.82 / $860.70 / $927.31	Facility		$308.82	$860.70	$927.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,973.03 / $2,581.55 / $4,941.05	Facility		$1,973.03	$2,581.55	$4,941.05
United Facility/Professional Facility Modifier Low / Median / High Price $938.00 / $3,184.20 / $5,093.20	Facility		$938.00	$3,184.20	$5,093.20