Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $888.42 / $3,925.18 / $18,711.00	Facility		$888.42	$3,925.18	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,609.57 / $5,471.61 / $12,100.72	Facility		$2,609.57	$5,471.61	$12,100.72
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 $503.73 / $1,027.74 / $1,921.26	Facility		$503.73	$1,027.74	$1,921.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $683.06 / $932.20 / $993.61	Facility		$683.06	$932.20	$993.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $651.87 / $1,795.87	Facility		$598.07	$651.87	$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 $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00