Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.00 / $6,470.00 / $18,800.00	Facility		$801.00	$6,470.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,795.87 / $5,471.61 / $12,100.72	Facility		$1,795.87	$5,471.61	$12,100.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,190.81	Facility		$714.97	$870.49	$2,190.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $478.17 / $967.92 / $1,921.26	Facility		$478.17	$967.92	$1,921.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $875.69 / $923.93	Facility		$637.00	$875.69	$923.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $611.10 / $1,795.87	Facility		$598.07	$611.10	$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