Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.03 / $4,500.00 / $18,711.00	Facility		$351.03	$4,500.00	$18,711.00
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 $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 $202.48 / $421.37 / $1,921.26	Facility		$202.48	$421.37	$1,921.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $273.42 / $373.19 / $392.62	Facility		$273.42	$373.19	$392.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.04 / $267.80 / $1,795.87	Facility		$255.04	$267.80	$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