Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.43 / $5,128.00 / $18,711.00	Facility		$762.43	$5,128.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,403.52 / $5,468.48 / $11,500.00	Facility		$3,403.52	$5,468.48	$11,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $2,190.81	Facility		$625.25	$761.81	$2,190.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $418.03 / $856.03 / $1,921.26	Facility		$418.03	$856.03	$1,921.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.52 / $769.16 / $834.82	Facility		$562.52	$769.16	$834.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.04 / $569.41 / $1,795.87	Facility		$549.04	$569.41	$1,795.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,913.81 / $5,468.48 / $10,466.57	Facility		$3,913.81	$5,468.48	$10,466.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,471.00 / $2,542.00 / $10,522.00	Facility		$1,471.00	$2,542.00	$10,522.00