Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.31 / $4,414.79 / $18,711.00	Facility		$687.31	$4,414.79	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,638.50 / $9,642.37 / $18,444.79	Facility		$5,638.50	$9,642.37	$18,444.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $4,605.38	Facility		$466.83	$568.48	$4,605.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $384.54 / $781.35 / $4,038.76	Facility		$384.54	$781.35	$4,038.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $499.31 / $609.03 / $735.76	Facility		$499.31	$609.03	$735.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $415.41 / $499.66 / $5,638.50	Facility		$415.41	$499.66	$5,638.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,035.90 / $9,642.37 / $18,444.79	Facility		$7,035.90	$9,642.37	$18,444.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00